Individual
ALEXANDRA ENZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4835 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-2109
(818) 572-1490
Mailing address
315 26TH ST, MANHATTAN BEACH, CA 90266-2107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
026306
NY
363A00000X
Physician Assistant
Primary
58825
CA
363A00000X
Physician Assistant
PA13824
TX
Other
Enumeration date
02/22/2021
Last updated
04/05/2021
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