Organization
ALEXIS HEALTHCARE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KO G LIUO NP (NP)
(949) 981-4515
Entity
Organization
Contact information
Practice address
35 FIELD, IRVINE, CA 92620-3345
(949) 981-4515
Mailing address
35 FIELD, IRVINE, CA 92620-3345
(949) 981-4515
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95001948
BOARD OF REGISTERED NURSING
CA
Enumeration date
09/14/2018
Last updated
09/14/2018
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