Individual
DR. ALEX BRONSON LAVENTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A177056
CA
Other
Enumeration date
06/20/2016
Last updated
10/06/2025
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