Healthcare Provider Details

I. General information

NPI: 1891242293
Provider Name (Legal Business Name): JOHN ALDRICH N ALEJANDRO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16205 SAND CANYON AVE STE 100
IRVINE CA
92618-3781
US

IV. Provider business mailing address

2720 S BRISTOL ST STE 110
SANTA ANA CA
92704-6210
US

V. Phone/Fax

Practice location:
  • Phone: 949-557-0000
  • Fax: 949-559-6510
Mailing address:
  • Phone: 626-422-2075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95004915
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: