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Individual

BAYLEE JUSTINE ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5411 ETIWANDA AVE STE 201, TARZANA, CA 91356-6158
(424) 314-0125
(424) 314-0128
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(424) 314-0125
(424) 314-0128

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56869
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
56869
CA
363A00000X
Physician Assistant
Primary
PA56869
CA

Other

Enumeration date
06/10/2019
Last updated
12/03/2024
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