Provider Demographics
NPI:1588612022
Name:CHOKLER, ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:CHOKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4714 ELMER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1219
Mailing Address - Country:US
Mailing Address - Phone:818-761-5022
Mailing Address - Fax:818-761-5022
Practice Address - Street 1:43112 15TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-6219
Practice Address - Country:US
Practice Address - Phone:661-726-2398
Practice Address - Fax:661-726-2283
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG78186208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG69029Medicare UPIN