# ALEXANDER MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720148703
- **Authorized official:** DR. GEORGE ERIC ALEXANDER MD (DOCTOR)
- **Authorized official phone:** (310) 316-1764

## Contact information

- **Practice address:** 1711 VIA EL PRADO, SUITE 202, REDONDO BEACH, CA 90277-5714
- **Practice address phone:** (310) 316-1764
- **Mailing address:** 1711 VIA EL PRADO, SUITE 202, REDONDO BEACH, CA 90277-5714
- **Mailing address phone:** (310) 316-1764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A44796 | CA | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 03/30/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A44796 | MEDICARE ID | CA |