Individual
AEA C. ALEX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-3300
(619) 532-9795
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-3300
(619) 532-5990
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A146087
CA
207RP1001X
Pulmonary Disease Physician
Primary
A146087
CA
Other
Enumeration date
03/26/2015
Last updated
03/09/2023
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