Provider Demographics
NPI:1508835430
Name:MAGLUNOG, ALEXANDER ALARAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ALARAS
Last Name:MAGLUNOG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 S SUNSET AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-3961
Mailing Address - Country:US
Mailing Address - Phone:626-962-3254
Mailing Address - Fax:626-962-1266
Practice Address - Street 1:1250 S SUNSET AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-3961
Practice Address - Country:US
Practice Address - Phone:626-962-3254
Practice Address - Fax:626-962-1266
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA42381208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A423810Medicaid
CAF81878Medicare UPIN
CAA42381Medicare ID - Type Unspecified