Individual provider · NPI-1

Christian Daniel Alvarez Durazo, MA

Technician, Other · San Diego, CA

NPI number1346101383
StatusActive
Last updated in NPPESNov 19, 2025

Details

NPI
1346101383
Entity type
Individual (NPI-1)
Name
Christian Daniel Alvarez Durazo
Credential
MA
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 19, 2025
Certification date
Nov 19, 2025
Last updated
Nov 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other1266422CAYes

Practice location

2910 Brando Dr
San Diego, CA 92154-4262

Phone 619-718-1128

Mailing address

2910 Brando Dr
San Diego, CA 92154-4262

Phone 619-718-1128

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Other Technician, Other providers in San Diego, CA