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Organization
GEORGE ERIC ALEXANDER A MEDICAL CORPORATION
Active
Organization
GEORGE ERIC ALEXANDER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ERIC ALEXANDER M,D, (OWNER)
(310) 316-1764
Entity
Organization
Contact information
Practice address
1711 VIA EL PRADO, SUITE 202, REDONDO BEACH, CA 90277-5714
(310) 316-1764
(310) 698-5777
Mailing address
1711 VIA EL PRADO, SUITE 202, REDONDO BEACH, CA 90277-5714
(310) 316-1764
(310) 698-5777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A44796
CA
207R00000X
Internal Medicine Physician
Primary
A44796
CA
208VP0000X
Pain Medicine Physician
A44796
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A44796
MEDICARE PTAN
CA
Enumeration date
03/30/2010
Last updated
03/13/2012
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