Provider Demographics
NPI:1447307681
Name:LUIS ARTURO ALVARADO DDS INC
Entity type:Organization
Organization Name:LUIS ARTURO ALVARADO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-856-3456
Mailing Address - Street 1:3936 MAINE AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-4220
Mailing Address - Country:US
Mailing Address - Phone:626-856-3456
Mailing Address - Fax:626-856-1183
Practice Address - Street 1:3936 MAINE AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-4220
Practice Address - Country:US
Practice Address - Phone:626-856-3456
Practice Address - Fax:626-856-1183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA358331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000135833CAOtherDELTA DENTAL
CAB3583301OtherDENTICAL
CAB3583304OtherDENTICAL
CAB3583303OtherDENTICAL
CA000235833CAOtherDELTA DENTAL