Individual
ALEXANDER NICHOLAS PREVALLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103-2105
(619) 688-0770
Mailing address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 686-3935
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A19716
CA
208M00000X
Hospitalist Physician
Primary
20A19716
CA
Other
Enumeration date
04/01/2019
Last updated
09/04/2024
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