Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A141203 | CA |
NPI | 1063844579 |
---|---|
Provider Name | Phillip Aleksiejuk |
First Address | Camarillo, CA 93012-5092 |
Second Address | Newbury Park, CA 91320-6438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2013 |
Last Update Date | 18/05/2020 |