| Organization Name: | ALEXANDRIA MEDICAL GROUP INC |
| NPI Number: | 1134524390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOHAMED A HAMID (PRESIDENT/CEO/MD) |
| Mailing Address: | 1155 N Vermont Ave 202 Los Angeles |
| State: | CA US |
| Postal Code: | 900291753 |
| Phone Number: | 3236609800 |
| Fax Number: | 3236609802 |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A32084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |