Healthcare Provider Details

I. General information

NPI: 1700528833
Provider Name (Legal Business Name): ALEXANDER LOUIS KOSTRINSKY-THOMAS DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2022
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 KORET WAY
SAN FRANCISCO CA
94143-2218
US

IV. Provider business mailing address

751 S BASCOM AVE
SAN JOSE CA
95128-2699
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-1378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20A21736
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: