| Doctor Name: | ALEXEI KUDLA |
| NPI Number: | 1538455068 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A123679 |
| Business Practice Address: | Naval Medical Ctr 34800 Bob Wilson Drive San Diego, CA - 921345000 |
| Business Phone Number: | 6195454359 |
| Business Fax Number: | |
| Mailing Address: | Naval Medical Ctr, 34800 Bob Wilson Drive SAN DIEGO |
| State: | CA |
| Postal Code: | 921345000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2011 |
| NPI Last Update Date: | 05/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A123679 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |