Healthcare Provider Details

I. General information

NPI: 1104928209
Provider Name (Legal Business Name): ALEX C NEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 11/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MEDICAL PLZ SUITE B200
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

4001 J STREET
SACRAMENTO CA
95819
US

V. Phone/Fax

Practice location:
  • Phone: 310-794-1195
  • Fax:
Mailing address:
  • Phone: 916-901-3292
  • Fax: 916-536-2480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA103894
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA103894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: