Healthcare Provider Details

I. General information

NPI: 1447275953
Provider Name (Legal Business Name): ALEKSANDER SKARZYNSKI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9765 MARCONI DR # 201-0
SAN DIEGO CA
92154-7205
US

IV. Provider business mailing address

9765 MARCONI DR # 201-0
SAN DIEGO CA
92154-7205
US

V. Phone/Fax

Practice location:
  • Phone: 424-202-9836
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC135293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: