Healthcare Provider Details

I. General information

NPI: 1265128722
Provider Name (Legal Business Name): ALEXIS ALBRIGHT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20250 VANDEGRIFT BLVD
OCEANSIDE CA
92058
US

IV. Provider business mailing address

200 MERCY CIRCLE
OCEANSIDE CA
92055-5191
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-5799
  • Fax:
Mailing address:
  • Phone: 541-228-4901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101283304
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101283304
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: