Provider Demographics
NPI:1437393303
Name:CHAI, ALEXA Y (MD)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:Y
Last Name:CHAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16505 LA QUINTA WAY
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-3088
Mailing Address - Country:US
Mailing Address - Phone:714-742-6056
Mailing Address - Fax:
Practice Address - Street 1:3771 KATELLA AVE STE 210
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3118
Practice Address - Country:US
Practice Address - Phone:562-430-0581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131086208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology