Provider Demographics
NPI:1326055096
Name:ALINSOD, NAPHTHALI MATEO (MD)
Entity Type:Individual
Prefix:DR
First Name:NAPHTHALI
Middle Name:MATEO
Last Name:ALINSOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NAPHTHALI RED
Other - Middle Name:MATEO
Other - Last Name:ALINSOD
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:31852 COAST HWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6764
Mailing Address - Country:US
Mailing Address - Phone:949-499-5311
Mailing Address - Fax:949-499-5312
Practice Address - Street 1:31852 COAST HWY
Practice Address - Street 2:SUITE 203
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6764
Practice Address - Country:US
Practice Address - Phone:949-499-5311
Practice Address - Fax:949-499-5312
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61949207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF22674Medicare UPIN