Individual
DR. ALEXANDRA GEORGIANA IANCULESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 610-7245
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A123468
CA
208M00000X
Hospitalist Physician
Primary
A123468
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649551276
—
CA
01
—
CB277683
MEDICARE PTAN
CA
Enumeration date
09/09/2011
Last updated
10/04/2017
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