Individual
ALEXANDER LUIS INTERIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, NP
Contact information
Practice address
3727 W 6TH ST STE 200, LOS ANGELES, CA 90020-5108
(213) 235-2500
Mailing address
3630 MARATHON ST APT 301, LOS ANGELES, CA 90026-2868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013791
CA
Other
Enumeration date
01/30/2020
Last updated
02/14/2020
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