GEORGE ERIC ALEXANDER A MEDICAL CORPORATION (NPI# 1558686832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558686832 |
| Entity Type | Organization |
| Organization Name | GEORGE ERIC ALEXANDER A MEDICAL CORPORATION |
| Practice Address |
1711 Via El Prado Suite 202 Redondo Beach CA 90277-5714 |
| Practice Telephone | 3103161764 |
| Practice Fax Number | 3106985777 |
| Mailing Telephone | 3103161764 |
| Mailing Fax Number | 3106985777 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | DR. GEORGE ERIC ALEXANDER (OWNER) |
| Authorized Official Telephone | 3103161764 |
| Authorized Official Credential | M,D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A44796 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A44796 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | A44796 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | A44796 | 01 |
| Street Address |
1711 VIA EL PRADO SUITE 202 |
| City | REDONDO BEACH |
| State | CA |
| Zip Code | 90277-5714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063499572 | Leland Gilbert Whitson | Family Medicine | 1711 Via El Prado, Suite 201, Redondo Beach, CA 90277-5714 | 2005-12-27 |
| 1083223127 | Shannon Denise Dunn | Social Worker | 1711 Via El Prado, Redondo Beach, CA 90277-5714 | 2020-07-24 |
| 1114306354 | Gregory Shvartsman Dds Dental Corporation | Dentist | 1711 Via El Prado, Ste 400b, Redondo Beach, CA 90277-5714 | 2015-05-20 |
| 1558619783 | Gregory Igor Shvartsman | Dentist | 1711 Via El Prado, Ste 400b, Redondo Beach, CA 90277-5714 | 2012-08-20 |
| 1104198043 | Leland G Whitson Md Inc | Preferred Provider Organization | 1711 Via El Prado, Suite 201, Redondo Beach, CA 90277-5714 | 2012-02-08 |
| 1083922363 | Sabrina Renee Besson | Speech-Language Pathologist | 1711 Via El Prado, Suite 301, Redondo Beach, CA 90277-5714 | 2010-09-20 |
| 1821233891 | Denise Marie Mcdermott | Psychologist | 1711 Via El Prado, Suite 302, Redondo Beach, CA 90277-5714 | 2008-12-04 |
| 1083875694 | John Louis Vicelja | Dentist | 1711 Via El Prado, 303, Redondo Beach, CA 90277-5714 | 2008-06-17 |
| 1881860120 | Rhoda S Ross | Dentist | 1711 Via El Prado, Ste 303, Redondo Beach, CA 90277-5714 | 2008-05-06 |
| 1952595365 | Lori Kay Malinbaum | Dentist | 1711 Via El Prado, #400, Redondo Beach, CA 90277 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780215103 | Robert John Coffman | Psychologist | 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 | 2020-02-04 |
| 1952949786 | Anne E Pitts | Dietitian, Registered | 360 The Village Drive Unit 207, Redondo Beach, CA 90277 | 2019-12-11 |
| 1558916841 | Dana Bryon Staub | Social Worker | 205 Ave. I, Suite 17, Redondo Beach, CA 90277 | 2019-08-05 |
| 1376033860 | Lisa Ann Graziano | Marriage & Family Therapist | 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 | 2018-05-10 |
| 1275981326 | Carla Marie Vasquez | Marriage & Family Therapist | 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2016-05-31 |
| 1154793628 | Marianne M. Cuttic, Dpm, Inc | Podiatrist | 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 | 2015-10-23 |
| 1841682994 | Mary Schopfel | Counselor | 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 | 2015-02-26 |
| 1700287141 | Rose Ross | Marriage & Family Therapist | 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 | 2014-09-04 |
| 1912307661 | Gale Hazeltine | Physical Therapist | 409 N PCh Hwy # 308, Redondo Beach, CA 90277 | 2014-08-31 |
| 1194135889 | Physical Therapy Concierge Service Inc | Clinic/Center | 704 N. Irena, B, Redondo Beach, CA 90277 | 2014-05-02 |
| Find all providers in zip 90277 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861667164 | Manuel Jaime Quinones | Internal Medicine | 800 Pacific Coast Highway, Suite 181, Redondo Beach, CA 90277 | 2008-04-28 |
| 1790958452 | Michael B Azarkh | Internal Medicine | 319 N Broadway Ave # 215, Redondo Beach, CA 90277 | 2008-04-02 |
| 1992927230 | Tracy E Bercu | Internal Medicine | 419 Camino Del Campo, Redondo Beach, CA 90277-5836 | 2007-05-03 |
| 1063434900 | Soma Medical Group | Internal Medicine | 1959 Kingsdale Ave, Redondo Beach, CA 90278-3417 | 2006-07-23 |
| 1295754281 | Weip Chen | Internal Medicine | 520 N Prospect Ave Ste 103, Redondo Beach, CA 90277-3033 | 2006-07-19 |
| 1487033437 | Arjun Gowda | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2015-05-22 |
| 1154622454 | Beverly Chen | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2010-11-03 |
| 1770802746 | Ronald Tsao | Internal Medicine | 514 N Prospect Ave, Redondo Beach, CA 90277-3036 | 2010-05-28 |
| 1194049114 | Camela Joan Ott | Internal Medicine | 2114 Artesia Blvd, Redondo Beach, CA 90278-3014 | 2010-03-19 |
| 1245407105 | Christopher Sun | Internal Medicine | 520 N Prospect Ave, Suite 103, Redondo Beach, CA 90277-3041 | 2008-05-09 |
| Find all providers in REDONDO BEACH | ||||
| City | REDONDO BEACH |
| Zip Code | 90277 |
Please comment or provide details below to improve the information on GEORGE ERIC ALEXANDER A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.