Doctor Name: | MRS. ALEXANDRA ELISE SABORIO |
NPI Number: | 1043562275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 22199 |
Business Practice Address: | 8700 Beverly Blvd Becker Building 220 West Hollywood, CA - 900481804 |
Business Phone Number: | 3104235252 |
Business Fax Number: | |
Mailing Address: | 551 Lotus St, LOS ANGELES |
State: | CA |
Postal Code: | 900652522 |
Phone Number: | 3233429972 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2012 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 22199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |