Healthcare Provider Details

I. General information

NPI: 1043994387
Provider Name (Legal Business Name): ALEXANDRA DUBINSKAYA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10951 W PICO BLVD STE 203
LOS ANGELES CA
90064-2182
US

IV. Provider business mailing address

13906 FIJI WAY APT 253
MARINA DEL REY CA
90292-6931
US

V. Phone/Fax

Practice location:
  • Phone: 347-220-5754
  • Fax:
Mailing address:
  • Phone: 347-220-5754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDRA DUBINSKAYA
Title or Position: PHYSICIAN
Credential: MD
Phone: 347-220-5754