Individual
ALEXANDER SOROKURS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1024 OXFORD AVE, MARINA DEL REY, CA 90292-5409
(310) 306-5502
(707) 215-6627
Mailing address
1024 OXFORD AVE, MARINA DEL REY, CA 90292-5409
(310) 306-5502
(707) 215-6627
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
A54193
CA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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