Individual
ALEXANDER PANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
111 N SEPULVEDA BLVD STE 210, MANHATTAN BEACH, CA 90266-6849
(424) 241-1557
Mailing address
111 N SEPULVEDA BLVD STE 210, MANHATTAN BEACH, CA 90266-6849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95005025
CA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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