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Individual

DR. ALEXANDER ALSOUFIEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1801 W ROMNEYA DR, ANAHEIM, CA 92801-1830
(714) 780-5695
(714) 780-5694
Mailing address
PO BOX 8206, ANAHEIM, CA 92812-0206
(714) 780-5695
(714) 780-5694

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A95198
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A95198
DR.ALEX'S LICENSE NO.
CA
Enumeration date
10/03/2006
Last updated
07/09/2007
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