Individual
DR. ALEX JOHN MESSINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 SANTA MONICA BLVD, #101E, SANTA MONICA, CA 90404
(310) 453-1103
(310) 453-9633
Mailing address
2021 SANTA MONICA BLVD, STE 101E, SANTA MONICA, CA 90404
(310) 453-1103
(310) 453-9633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A23984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
952845053
FED TAX ID NO
—
01
—
A23984
STATE LICENSE NUMBER
—
Enumeration date
03/30/2006
Last updated
03/07/2023
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