Individual
ALEXANDRA KIVNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1670 E 120TH ST, LOS ANGELES, CA 90059-3026
(424) 338-1000
Mailing address
2801 OCEAN PARK BLVD PMB 2151, SANTA MONICA, CA 90405-2905
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A186493
CA
Other
Enumeration date
03/23/2020
Last updated
09/05/2024
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