Healthcare Provider Details

I. General information

NPI: 1982883948
Provider Name (Legal Business Name): ALEX A EHSAN M.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ALEX ESANA M.D,

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18000 STUDEBAKER RD STE 800
CERRITOS CA
90703-2671
US

IV. Provider business mailing address

PO BOX 911230
DALLAS TX
75391-1230
US

V. Phone/Fax

Practice location:
  • Phone: 562-735-3226
  • Fax:
Mailing address:
  • Phone: 972-997-8000
  • Fax: 972-234-2987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberM6595
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: