Individual
ALEXANDER PAPPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 392-8636
Mailing address
604 ROSE AVE, VENICE, CA 90291-2767
(310) 392-8636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0086197
MD
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A167956
CA
Other
Enumeration date
04/28/2015
Last updated
03/03/2021
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