# PETER G ALEXAKIS M D A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1922270149
- **Authorized official:** PETER G ALEXAKIS MD (PRESIDENT)
- **Authorized official phone:** (310) 828-3404

## Contact information

- **Practice address:** 2001 SANTA MONICA BLVD, \# 1190 W, SANTA MONICA, CA 90404-2102
- **Practice address phone:** (310) 828-3404
- **Practice address fax:** (310) 828-8550
- **Mailing address:** 2001 SANTA MONICA BLVD, \# 1190 W, SANTA MONICA, CA 90404-2102
- **Mailing address phone:** (310) 828-3404
- **Mailing address fax:** (310) 828-8550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A18145 | CA | Yes |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 04/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A18145 | LICENSE | CA |