Michelle Antonia Alfaro

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Covina, CA

NPI 1376776914 · NPPES record last updated Aug 31, 2009

Key facts

NPI
1376776914
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
540 S Eremland Dr Ste E
Covina, CA 91723-3186
Phone
(626) 967-1577
NPI assigned
Aug 31, 2009
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)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

540 S Eremland Dr Ste E
Covina, CA 91723-3186

Mailing address

4604 Jessica Dr
Los Angeles, CA 90065-4152

Other providers in Covina, CA

All providers in Covina, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.