Healthcare Provider Details

I. General information

NPI: 1407568397
Provider Name (Legal Business Name): ALEXANDRA DEY MS, NUTRITION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 12/22/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ALEXANDRA DEY 9461 CHARLEVILLE BLVD 773
BEVERLY HILLS CA
90212
US

IV. Provider business mailing address

ALEXANDRA DEY 9461 CHARLEVILLE BLVD 773
BEVERLY HILLS CA
90212
US

V. Phone/Fax

Practice location:
  • Phone: 310-562-0567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: