MEDICARE: DR. ROXANNE TERESA ALEMAN MD

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	390200000X	Student in an Organized Health Care Education/Training Program	125.076830	IL
2	208M00000X	Hospitalist Physician	A185335	CA

General Provider Information

NPI Number	:	1427673995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROXANNE TERESA ALEMAN MD

Provider Business Mailing Address
First Line	:	10790 RANCHO BERNARDO RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92127-5705
Country	:	US
Telephone Number	:	619-260-7125
Fax Number	:

Provider Business Practice Location Address
First Line	:	1066 N TORREY PINES RD
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92037
Country	:	US
Telephone Number	:	858-554-3200
Fax Number	:

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

Provider Enumeration Date	:	06/10/2020
Last Update Date	:	12/08/2023

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