MEDICARE: DR. ALEXANDER THERMOS D.O., D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	38341	CO
2	207Q00000X	Family Medicine Physician	20A11028	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104818491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER THERMOS D.O., D.C.

Provider Business Mailing Address
First Line	:	125 COLUMBIA
Second Line	:	STE A
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-4101
Country	:	US
Telephone Number	:	888-564-2081
Fax Number	:	949-429-0623

Provider Business Practice Location Address
First Line	:	125 COLUMBIA
Second Line	:	STE A
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-4101
Country	:	US
Telephone Number	:	888-564-2081
Fax Number	:	949-429-0623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	06/16/2014

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Directions to “ DR. ALEXANDER THERMOS D.O., D.C.” Practice Location

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