Healthcare Provider Details

I. General information

NPI: 1275273203
Provider Name (Legal Business Name): ALEJANDRO SARABIA GONZALEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD # 210
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

8700 BEVERLY BLVD # 210
WEST HOLLYWOOD CA
90048-1804
US

V. Phone/Fax

Practice location:
  • Phone: 915-244-0698
  • Fax: 915-200-0047
Mailing address:
  • Phone: 915-244-0698
  • Fax: 915-200-0047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA191097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: