| Alexandra A Chrysanthis M D Inc | |
|
10861 Cherry St # 210 Los Alamitos CA 90720-5402 | |
| (562) 795-6406 | |
| (562) 795-6409 |
| Full Name | Alexandra A Chrysanthis M D Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10861 Cherry St # 210, Los Alamitos, California |
| Authorized Official Name and Position | Alexandra A Chrysanthis (OWNER) |
| Authorized Official Contact | 5627956406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra A Chrysanthis M D Inc 10861 Cherry St # 210 Los Alamitos CA 90720-5402 Ph: (562) 795-6406 | Alexandra A Chrysanthis M D Inc 10861 Cherry St # 210 Los Alamitos CA 90720-5402 Ph: (562) 795-6406 |
| NPI Number | 1184007254 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 03/21/2018 |
| Medicare PECOS PAC ID | 3476866427 |
|---|---|
| Medicare Enrollment ID | O20150720001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184007254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A62293 (California) | Primary |
| Provider Name | Alexandra A Chrysanthis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588734974 PECOS PAC ID: 7113829110 Enrollment ID: I20040122000344 |
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