MEDICARE: ALEXANDER CERA SONES 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	174400000X	Specialist	A163339	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084P0800X	Psychiatry Physician	A163339	CA

General Provider Information

NPI Number	:	1861998130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER CERA SONES MD

Provider Business Mailing Address
First Line	:	2730 WILSHIRE BLVD STE 325
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4747
Country	:	US
Telephone Number	:	424-405-6186
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 WILSHIRE BLVD STE 325
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4747
Country	:	US
Telephone Number	:	424-405-6186
Fax Number	:

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

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	06/12/2023

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