Guadalupe Alonzo
Individual provider Active NPI Athletic Trainer · Banning, CA
NPI 1124523568 · NPPES record last updated Mar 28, 2018
Key facts
- NPI
- 1124523568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 3800 W Wilson St SPC 255
Banning, CA 92220-3440 - Phone
- (909) 241-1037
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
3800 W Wilson St SPC 255
Banning, CA 92220-3440
Mailing address
3800 W Wilson St SPC 255
Banning, CA 92220-3440
Phone (909) 241-1037
Other names
- Lupe Alonzo
Other providers in Banning, CA
- All Health Group of Companies Inc.
- All Health Ventures Inc.
- Virgie L Allen
- Nancy Almada Hernandez
- Jasmine Almazan
- Guadalupe Alvarez
- Amy Berhanu Demissie DDS PC
- Donald Lee Anderson
- Matthias Anderson
- Megan Marie Anderson
All providers in Banning, CA · Athletic Trainer in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.