Healthcare Provider Details

I. General information

NPI: 1427247568
Provider Name (Legal Business Name): ALEX KINGSLEY DANSO M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2007
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44215 15TH ST W #305
LANCASTER CA
93534-4014
US

IV. Provider business mailing address

44215 15TH ST W #305
LANCASTER CA
93534-4014
US

V. Phone/Fax

Practice location:
  • Phone: 661-949-5409
  • Fax: 661-949-5820
Mailing address:
  • Phone: 661-949-5409
  • Fax: 661-949-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEX KINGSLEY DANSO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 661-949-5404