ALEXANDER MEDICAL GROUP NPI 1720148703

NPI Information

NPI: 1720148703
Provider Name: ALEXANDER MEDICAL GROUP
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1711 VIA EL PRADO
SUITE 202
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 316-1764
Get Directions

ALEXANDER MEDICAL GROUP is a medical specialty clinic center in Redondo Beach, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ALEXANDER MEDICAL GROUP NPI is 1720148703. The provider is registered as an organization entity type.

The provider's business location address is:

1711 VIA EL PRADO
SUITE 202
REDONDO BEACH, CA
ZIP 90277-714
Phone: (310) 316-1764

The provider's authorized official is George Eric Alexander .
The authorized official title is Doctor and has the following contact phone number (310) 316-1764.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 3/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	A44796	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A44796	OTHER	CALIFORNIA	MEDICARE ID
2	00A44796	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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