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1689070161

NPI Code Detail

MEDICARE: ALEXANDER JACOB SWEIDAN MD

MEDICARE: ALEXANDER JACOB SWEIDAN 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	207R00000X	Internal Medicine Physician	A143583	CA
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A143583	CA
3	2084A2900X	Neurocritical Care Physician	A143583	CA
4	207RP1001X	Pulmonary Disease Physician	A143583	CA

General Provider Information

NPI Number	:	1689070161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER JACOB SWEIDAN MD

Provider Business Mailing Address
First Line	:	2222 S MAIN ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92707-3220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	136 BROADWAY
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92627-2818
Country	:	US
Telephone Number	:	949-873-5537
Fax Number	:	949-873-5625

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

Provider Enumeration Date	:	11/12/2014
Last Update Date	:	11/10/2022

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Directions to “ ALEXANDER JACOB SWEIDAN MD” Practice Location

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