Individual
DR. ALEXIS KOROSTOFF RIEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 S RAYMOND AVE UNIT 201, PASADENA, CA 91105-3283
(424) 314-0196
Mailing address
630 S RAYMOND AVE UNIT 201, PASADENA, CA 91105-3283
(424) 314-0196
(626) 796-0883
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A123143
CA
Other
Enumeration date
10/04/2012
Last updated
12/02/2022
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