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NPI Code Detail

MEDICARE: ALEXA GOZALI DO

MEDICARE: ALEXA GOZALI DO
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
1207Q00000XFamily Medicine Physician20A17348CA

General Provider Information

NPI Number : 1407309594
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA GOZALI DO
Provider Business Mailing Address
First Line : 30131 TOWN CENTER DR STE 135
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2010
Country : US
Telephone Number : 949-363-9595
Fax Number :
Provider Business Practice Location Address
First Line : 30131 TOWN CENTER DR STE 135
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-2010
Country : US
Telephone Number : 949-363-9595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2016
Last Update Date : 11/02/2021

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Directions to “ ALEXA GOZALI DO” Practice Location

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