Organization
ALEXANDER Y. NEMIROVSKY, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER NEMIROVSKY M.D. (PRESIDENT)
(310) 614-5182
Entity
Organization
Contact information
Practice address
323 S HELIOTROPE AVE, MONROVIA, CA 91016-2914
(310) 614-5182
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A76455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A764550
BLUE SHIELD
CA
05
—
00A764550
—
CA
Enumeration date
07/20/2006
Last updated
08/28/2024
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