Healthcare Provider Details

I. General information

NPI: 1700865417
Provider Name (Legal Business Name): ALEXA P. KOLLMEIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10666 N TORREY PINES RD
LA JOLLA CA
92037-1027
US

IV. Provider business mailing address

13754 MANGO DR UNIT 210
DEL MAR CA
92014-3436
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-6158
  • Fax: 858-554-6123
Mailing address:
  • Phone: 858-523-0722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberA78045
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA78045
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: