Doctor Name: | JEANETTE S ALVES |
NPI Number: | 1124189618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA 14709 |
Business Practice Address: | 18300 Yorba Linda Blvd Ste #201 Yorba Linda, CA - 928864052 |
Business Phone Number: | 7145776000 |
Business Fax Number: | |
Mailing Address: | 18200 Yorba Linda Blvd, Ste #401 YORBA LINDA |
State: | CA |
Postal Code: | 928864056 |
Phone Number: | 7149863307 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 14709 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |