Basic Information
Provider Information
NPI: 1184980161
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAS
FirstName: CLAUDIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 411 W JUANITA AVE
Address2:  
City: GLENDORA
State: CA
PostalCode: 917405927
CountryCode: US
TelephoneNumber: 6263357289
FaxNumber:  
Practice Location
Address1: 25825 VERMONT AVE
Address2:  
City: HARBOR CITY
State: CA
PostalCode: 907103518
CountryCode: US
TelephoneNumber: 3232685000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2012
LastUpdateDate: 11/03/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/03/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA118287CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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