Mario Benjamin Alvarado Ayala
Individual provider Active NPI Physical Therapist · Commerce, CA
NPI 1235947458 · NPPES record last updated Dec 19, 2024
Key facts
- NPI
- 1235947458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 307402 (CA)
- Practice address
- 3430 Garfield Ave
Commerce, CA 90040-3104 - Phone
- (323) 722-8481
- NPI assigned
- Dec 19, 2024
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307402 | CA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 307402 | CA | Yes |
Addresses
Primary practice location
3430 Garfield Ave
Commerce, CA 90040-3104
Mailing address
1041 N Wanda Dr
Anaheim, CA 92805-1553
Phone (714) 321-9519
Other providers in Commerce, CA
- Altamed Health Services
- Altamed Health Services
- Altamed Health Services
- Altamed Health Services Corp
- Altamed Health Services Corp
- Elizabeth Alvarado
- Rossana Alvarado
- Jessica Alvarez
- Shirley Alvarez
- Sabrina Marie Alvizo
All providers in Commerce, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2024. 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.