Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | C50011 | CA |
NPI | 1033290879 |
---|---|
Provider Name | Dr. Alexandra Christine Chebil |
First Address | Irvine, CA 92612-1428 |
Second Address | Irvine, CA 92612-1449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 04/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C5001 | (02) | CA |