Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A66670 | CA |
Y | 208200000X | Surgeon | A66670 | CA |
Y | 208600000X | Surgeon | A66670 | CA |
NPI | 1447443809 |
---|---|
Provider Name | Paul Alvord |
First Address | San Diego, CA 92103-2117 |
Second Address | San Diego, CA 92103-2117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 26/02/2021 |