Healthcare Provider Details

I. General information

NPI: 1427689256
Provider Name (Legal Business Name): ALEJANDRO F CENTURION MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2020
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CLOCK TOWER PL STE 225
CARMEL CA
93923-8778
US

IV. Provider business mailing address

100 CLOCK TOWER PL STE 225
CARMEL CA
93923-8778
US

V. Phone/Fax

Practice location:
  • Phone: 831-620-0763
  • Fax:
Mailing address:
  • Phone: 831-620-0763
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEJANDRO F CENTURION
Title or Position: PRESIDENT
Credential: MD
Phone: 831-620-0763