Healthcare Provider Details

I. General information

NPI: 1104529387
Provider Name (Legal Business Name): ALEJANDRA TROJANOWSKI RN, NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2023
Last Update Date: 10/25/2024
Certification Date: 03/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W 8TH ST
LONG BEACH CA
90813-4116
US

IV. Provider business mailing address

525 W 8TH ST
LONG BEACH CA
90813-4116
US

V. Phone/Fax

Practice location:
  • Phone: 213-453-4101
  • Fax:
Mailing address:
  • Phone: 213-453-4101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95024710
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95201614
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: