| Doctor Name: | ALVITA LASRADO |
| NPI Number: | 1306254644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 95000444 |
| Business Practice Address: | 16660 Paramount Blvd Suite 110 Paramount, CA - 907235433 |
| Business Phone Number: | 5626332021 |
| Business Fax Number: | |
| Mailing Address: | 5172 Del Sur Cir, LA PALMA |
| State: | CA |
| Postal Code: | 906232211 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/31/2014 |
| NPI Last Update Date: | 07/31/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95000444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |