Organization Name: | ALEXANDER E LOSCIALPO MD INC |
NPI Number: | 1003001991 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDER EUGENE LOSCIALPO (OWNER) |
Mailing Address: | 3801 Katella Ave Suite 201 Los Alamitos |
State: | CA US |
Postal Code: | 907203338 |
Phone Number: | 7143782480 |
Fax Number: | 5625948832 |
NPI Enumeration Date: | 09/13/2007 |
NPI Last Update Date: | 09/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | A24510 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |