Provider Demographics
NPI:1366321606
Name:GARCIA ALVARADO, LISET
Entity type:Individual
Prefix:
First Name:LISET
Middle Name:
Last Name:GARCIA ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11937 HART ST APT P
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6710
Mailing Address - Country:US
Mailing Address - Phone:747-237-9177
Mailing Address - Fax:
Practice Address - Street 1:11937 HART ST APT P
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-6710
Practice Address - Country:US
Practice Address - Phone:747-237-9177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA018876171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter