Organization
ALESSA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WAKIM MD (PHYSICIAN/CEO)
(714) 514-8177
Entity
Organization
Contact information
Practice address
6302 PRINCEVILLE CIR, HUNTINGTON BEACH, CA 92648-5524
(714) 514-8177
(714) 960-7655
Mailing address
6302 PRINCEVILLE CIR, HUNTINGTON BEACH, CA 92648-5524
(714) 514-8177
(714) 960-7655
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A98851
CA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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