Individual
ALEXIS CHRISTINE KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10605 SCRIPPS POWAY PKWY STE C, SAN DIEGO, CA 92131-3925
(858) 622-0554
Mailing address
5484 NEW MILLS RD, SAN DIEGO, CA 92115-2247
(805) 258-6659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
9112657
FL
363A00000X
Physician Assistant
Primary
PA59582
CA
Other
Enumeration date
10/21/2019
Last updated
03/07/2022
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