Healthcare Provider Details

I. General information

NPI: 1972997104
Provider Name (Legal Business Name): ALAYN GOVEA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 01/10/2026
Certification Date: 01/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N. STATE STREET CLINIC TOWER, A6E
LOS ANGELES CA
90033
US

IV. Provider business mailing address

1100 N. STATE STREET CLINIC TOWER, A6E
LOS ANGELES CA
90033
US

V. Phone/Fax

Practice location:
  • Phone: 323-409-1000
  • Fax: 507-607-8735
Mailing address:
  • Phone: 323-409-1000
  • Fax: 507-607-8735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA145802
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberA145802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: