Organization
PETER G ALEXAKIS M D A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G ALEXAKIS MD (PRESIDENT)
(310) 828-3404
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, # 1190 W, SANTA MONICA, CA 90404-2102
(310) 828-3404
(310) 828-8550
Mailing address
2001 SANTA MONICA BLVD, # 1190 W, SANTA MONICA, CA 90404-2102
(310) 828-3404
(310) 828-8550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A18145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A18145
LICENSE
CA
Enumeration date
03/27/2008
Last updated
04/11/2011
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