Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G84448 | CA |
NPI | 1275681157 |
---|---|
Provider Name | Alexandra E Page |
First Address | San Diego, CA 92120-5270 |
Second Address | San Diego, CA 92120-5270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 29/08/2017 |