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Organization
MEMORIAL SPORTS & INTERNAL MEDICINE
Active
Organization
MEMORIAL SPORTS & INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRYSANTHIS A ALEXANDRA MD (OWNER)
(562) 795-6406
Entity
Organization
Contact information
Practice address
10861 CHERRY ST, 200, LOS ALAMITOS, CA 90720-5402
(562) 795-6406
(562) 795-6409
Mailing address
10861 CHERRY ST, 200, LOS ALAMITOS, CA 90720-5402
(562) 795-6406
(562) 795-6409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
09/26/2008
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