Provider Demographics
NPI:1043953367
Name:ALVIS, BRIGITTE P
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:P
Last Name:ALVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15060 CERECITA DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90604-2111
Mailing Address - Country:US
Mailing Address - Phone:562-360-8193
Mailing Address - Fax:
Practice Address - Street 1:15060 CERECITA DRIVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90604
Practice Address - Country:UM
Practice Address - Phone:562-360-8193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA15360274OtherMEDI CARE