Sophia Nicole Alviso, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Sophia Nicole Alviso is licensed to practice in * (Not Available) (license number ) and her current practice location is
5674 W. Olympic Blvd., Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 965-1365.
NPI number for Sophia Nicole Alviso is 1962020123 and her current mailing address is 5675 W Olympic Blvd, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962020123.
Healthcare Provider's Profile
Full Name | Sophia Nicole Alviso |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5674 W. Olympic Blvd., Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962020123
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Sophia Nicole Alviso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962020123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Nicole Alviso is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sophia Nicole Alviso, 5675 W Olympic Blvd, Los Angeles, CA 90036-4712 Ph: (323) 965-1365 | Sophia Nicole Alviso, 5674 W. Olympic Blvd., Los Angeles, CA 90036 Ph: (323) 965-1365 |
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