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NPI Code Detail

MEDICARE: ALEXIS CLAIRE DOLL MD

MEDICARE: ALEXIS CLAIRE DOLL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1609570134
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS CLAIRE DOLL MD
Provider Business Mailing Address
First Line : 3020 CHILDRENS WAY # MC5124
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3020 CHILDRENS WAY # MC5124
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4223
Country : US
Telephone Number : 858-966-6764
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2023
Last Update Date : 03/22/2026

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