Healthcare Provider Details

I. General information

NPI: 1700014909
Provider Name (Legal Business Name): DAMON A ALAVEKIOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41889 FLORIDA AVE
HEMET CA
92544-5042
US

IV. Provider business mailing address

41889 FLORIDA AVE
HEMET CA
92544-5042
US

V. Phone/Fax

Practice location:
  • Phone: 951-652-8700
  • Fax: 888-827-0236
Mailing address:
  • Phone: 951-652-8700
  • Fax: 888-827-0236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberS0607
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number39711
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number60523493
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number70054
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA115287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: