Healthcare Provider Details

I. General information

NPI: 1386581833
Provider Name (Legal Business Name): NICOLE ALEXANDER SPENCER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23326 HAWTHORNE BLVD STE 110
TORRANCE CA
90505-3735
US

IV. Provider business mailing address

23326 HAWTHORNE BLVD STE 110
TORRANCE CA
90505-3735
US

V. Phone/Fax

Practice location:
  • Phone: 310-430-2926
  • Fax: 424-334-0905
Mailing address:
  • Phone: 310-430-2926
  • Fax: 424-334-0905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NICOLE ALEXANDER- SPENCER
Title or Position: OWNER
Credential: MD
Phone: 310-430-2926