Healthcare Provider Details

I. General information

NPI: 1033407275
Provider Name (Legal Business Name): ALEXANDER FOSTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 11/05/2020
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 N EL CAMINO REAL STE C202
ENCINITAS CA
92024
US

IV. Provider business mailing address

2124 S EL CAMINO REAL STE 100
OCEANSIDE CA
92054-6211
US

V. Phone/Fax

Practice location:
  • Phone: 760-631-3500
  • Fax:
Mailing address:
  • Phone: 760-729-7101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberA124880
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: