Individual
ALEX CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1125 VIA VERDE, SAN DIMAS, CA 91773-4400
(909) 592-9778
Mailing address
871 GREENWAY TER, LA HABRA, CA 90631-3065
(562) 237-0662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A19481
CA
207RS0010X
Sports Medicine (Internal Medicine) Physician
20A19481
CA
Other
Enumeration date
05/22/2019
Last updated
08/13/2024
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