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NPI Code Detail

MEDICARE: DR. ALAN A ALEXANDER MD

MEDICARE:  DR. ALAN A ALEXANDER  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
1208D00000XGeneral Practice PhysicianA117299CA
2208D00000XGeneral Practice Physician0101248213VA
3390200000XStudent in an Organized Health Care Education/Training Program
42085R0202XDiagnostic Radiology PhysicianA117299CA

General Provider Information

NPI Number : 1518126341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN A ALEXANDER MD
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number : 310-301-5138
Fax Number :
Provider Business Practice Location Address
First Line : 757 WESTWOOD PLZ
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-4107
Country : US
Telephone Number : 310-301-6800
Fax Number : 310-794-9035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2008
Last Update Date : 08/02/2021

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Directions to “ DR. ALAN A ALEXANDER MD” Practice Location

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