Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A121987 | CA |
NPI | 1194017210 |
---|---|
Provider Name | Dr. Elysia Marie Alvarez |
First Address | Fremont, CA 94536-4312 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2011 |
Last Update Date | 17/03/2018 |