| Edwin R Alexander Md Inc | |
|
1140 W La Veta Ave Suite 540 Orange CA 92868-4223 | |
| (714) 550-7575 | |
| (714) 550-7550 |
| Full Name | Edwin R Alexander Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1140 W La Veta Ave, Orange, California |
| Authorized Official Name and Position | Edwin R Alexander (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 7145507575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin R Alexander Md Inc 1140 W La Veta Ave. Suite 540 Orange CA 92868-4227 Ph: (714) 550-7575 | Edwin R Alexander Md Inc 1140 W La Veta Ave Suite 540 Orange CA 92868-4223 Ph: (714) 550-7575 |
| NPI Number | 1285667766 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 12/13/2010 |
| Medicare PECOS PAC ID | 7315134574 |
|---|---|
| Medicare Enrollment ID | O20101214000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285667766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A74683 (California) | Primary |
| Provider Name | Edwin R Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659315752 PECOS PAC ID: 7911194188 Enrollment ID: I20101214000730 |
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