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Alexander Balderrama, PA
Medical Physician Assistant in Lynwood, California
NPI 1649204470

Alexander Balderrama is a Medical Physician Assistant based in Westminster, CA and is specialized in Medical. Alexander Balderrama practices in Lynwood, CA and has the professional credentials of PA. The NPI Number for Alexander Balderrama is 1649204470 and holds a License No. PA10019 (California).

The current practice location address for Alexander Balderrama is 3630 East Imperial Highway, Lynwood, CA and can be reached out via phone at 310-900-8900.

Location: 3630 East Imperial Highway, Lynwood, CA, 92685-2110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649204470
Provider Name
Alexander Balderrama
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3630 East Imperial Highway, Lynwood, CA, 92685-2110
Phone Number
310-900-8900
Fax Number
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA10019 05 CA
institution
Provider Business Practice Location Address Details
Address
3630 East Imperial Highway
City
Lynwood
State
California
Zip
90262-2678
Phone Number
310-900-8900
Fax Number
person
Provider Business Mailing Address Details
Address
3630 East Imperial Highway
City
Lynwood
State
California
Zip
90262-2678
Phone Number
310-900-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10019 (California)
Definition
Definition to come...
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