Provider Demographics
NPI:1073191623
Name:ALEXANDRA HEALTHCARE
Entity Type:Organization
Organization Name:ALEXANDRA HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ARCHIBON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-410-7020
Mailing Address - Street 1:2461 E ORANGETHORPE AVE STE 245
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-5302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2461 E ORANGETHORPE AVE STE 245
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-5302
Practice Address - Country:US
Practice Address - Phone:626-410-7020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based