Individual
MS. ALEXANDRA NICOLE REIVITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 WILSHIRE BLVD FL 1, SANTA MONICA, CA 90401-1854
(310) 829-8945
(424) 212-5934
Mailing address
2827 COOLIDGE AVE, LOS ANGELES, CA 90064-3821
(310) 428-1267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61956
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2021
Last updated
10/22/2025
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