Healthcare Provider Details

I. General information

NPI: 1770210965
Provider Name (Legal Business Name): ALEXANDRA HELENE SLOWIK PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2022
Last Update Date: 06/06/2023
Certification Date: 06/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27345 JEFFERSON AVE STE 100
TEMECULA CA
92590-5601
US

IV. Provider business mailing address

27345 JEFFERSON AVE STE 100
TEMECULA CA
92590-5601
US

V. Phone/Fax

Practice location:
  • Phone: 951-699-9201
  • Fax:
Mailing address:
  • Phone: 951-699-9201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: