Basic Information
| Provider Information | |||||||||
| NPI: | 1770698136 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OSEA | ||||||||
| FirstName: | NOLITO | ||||||||
| MiddleName: | ALVAREZ | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1250 E ALMOND AVE | ||||||||
| Address2: | |||||||||
| City: | MADERA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936375606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596755501 | ||||||||
| FaxNumber: | 5596755594 | ||||||||
| Practice Location | |||||||||
| Address1: | 1250 E ALMOND AVE | ||||||||
| Address2: | |||||||||
| City: | MADERA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936375606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596755501 | ||||||||
| FaxNumber: | 5596755594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2006 | ||||||||
| LastUpdateDate: | 10/03/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 14023 | OK | N | Allopathic & Osteopathic Physicians | Surgery | 207P00000X | A38229 | CA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.