Provider Demographics
NPI:1164728531
Name:REDFIN, ALEXANDRIA L
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:L
Last Name:REDFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 TELEPHONE RD STE 117
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5672
Mailing Address - Country:US
Mailing Address - Phone:805-223-1101
Mailing Address - Fax:805-852-1906
Practice Address - Street 1:4601 TELEPHONE RD STE 117
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5672
Practice Address - Country:US
Practice Address - Phone:323-839-1960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-2633765OtherMED-CAL