Healthcare Provider Details

I. General information

NPI: 1649940784
Provider Name (Legal Business Name): ALEXANDER JOSE APONTE DAVILA ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2021
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 SORRENTO VALLEY BLVD
SAN DIEGO CA
92121-1429
US

IV. Provider business mailing address

3550 LEBON DR UNIT 6307
SAN DIEGO CA
92122-4565
US

V. Phone/Fax

Practice location:
  • Phone: 858-246-9730
  • Fax:
Mailing address:
  • Phone: 425-496-4188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: