Organization
ALEX J. MERCANDETTI, M.D., INC. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX J. MERCANDETTI M.D. (PRESIDENT)
(619) 291-9285
Entity
Organization
Contact information
Practice address
4060 FOURTH AVE, SUITE 335, SAN DIEGO, CA 92103-2116
(619) 291-9285
(619) 291-9289
Mailing address
4060 FOURTH AVE, SUITE 335, SAN DIEGO, CA 92103-2116
(619) 291-9285
(619) 291-9289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G41199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084400
—
CA
Enumeration date
06/28/2006
Last updated
01/05/2016
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