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NPI 1700865417

NPI 1700865417 : ALEXA P. KOLLMEIER M.D. : LA JOLLA, CA

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General NPI Number Information
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    NPI Number           |    1700865417
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXA P. KOLLMEIER M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/11/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    10666 N TORREY PINES RD 
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    City                 |    LA JOLLA
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    State                |    CA
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    Zip                  |    92037-1027
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    Country              |    US
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    Telephone            |    858-554-6158
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    Fax                  |    858-554-6123
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Provider Business Mailing Address
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    Address Line         |    13754 MANGO DR UNIT 210 
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    City                 |    DEL MAR
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    State                |    CA
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    Zip                  |    92014-3436
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    Country              |    US
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    Telephone            |    858-523-0722
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    A78045
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    A78045
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    License Number State |    CA
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