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NPI Code Detail

MEDICARE: ALEJANDRO JUNGER

MEDICARE: ALEJANDRO JUNGER
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
1174400000XSpecialistAO69921CA

General Provider Information

NPI Number : 1598829566
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO JUNGER
Provider Business Mailing Address
First Line : 2019 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6229
Country : US
Telephone Number : 310-575-5611
Fax Number :
Provider Business Practice Location Address
First Line : 2019 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-6229
Country : US
Telephone Number : 310-575-5611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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Directions to “ ALEJANDRO JUNGER ” Practice Location

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