Provider Demographics
NPI:1174638258
Name:LOSCIALPO, ALEXANDER EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:EUGENE
Last Name:LOSCIALPO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 KATELLA AVE
Mailing Address - Street 2:201
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3338
Mailing Address - Country:US
Mailing Address - Phone:562-594-8831
Mailing Address - Fax:562-594-8832
Practice Address - Street 1:3801 KATELLA AVE
Practice Address - Street 2:201
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3338
Practice Address - Country:US
Practice Address - Phone:562-594-8831
Practice Address - Fax:562-594-8832
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24510207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA24007Medicare UPIN
CAWA24510AMedicare PIN