Individual
DR. JOHN G ALEVIZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15751 ROCKFIELD BLVD, SUITE 100, IRVINE, CA 92618-2832
(949) 206-9100
(949) 206-1648
Mailing address
800 N TUSTIN AVE, SUITE A, SANTA ANA, CA 92705-3605
(714) 245-0800
(714) 285-0400
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
20A6108
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
20A6108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6108
MEDICAL LICENSE
CA
Enumeration date
07/07/2005
Last updated
08/22/2013
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