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Individual

ALEX PERKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2183 FAIRVIEW RD STE 100, COSTA MESA, CA 92627-5671
(949) 515-5440
Mailing address
16 LAPIS AVE, DANA POINT, CA 92629-2971
(949) 395-1768

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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