Individual
ALEXANDER ANAVIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 E LAS TUNAS DR, SAN GABRIEL, CA 91776-1414
(818) 625-4535
Mailing address
2736 AQUA VERDE CIR, LOS ANGELES, CA 90077-1502
(818) 635-8101
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A193587
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
08/19/2024
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