Individual
ALICE DRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA DRIVEWAY SUITE 140, LOS ANGELES, CA 90095-6402
(833) 825-2974
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA12203600
NJ
208800000X
Urology Physician
A180985
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/20/2017
Last updated
04/25/2024
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