Most Relevant Information
Provider Data
| NPI Number: | 1003422833 |
| Provider Name: | MATHA V ALVAREZ RADT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/17/2020 |
| Last Updated: | 09/17/2020 |
Provider Practice Location
9140 VAN NUYS BLVD
PANORAMA CITY
CA
914026727
Practice Location Phone/Fax
| Phone: | 8188952206 |
| Fax: | 8188950824 |
Provider Mailing Location
9140 VAN NUYS BLVD
PANORAMA CITY
CA
914026727
Provider Mailing Phone/Fax
| Phone: | 8188952206 |
| Fax: | 8188950824 |