Provider Demographics
NPI:1598819419
Name:CAMBANIS, ALEXIS (MD, MTROPMED)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:CAMBANIS
Suffix:
Gender:M
Credentials:MD, MTROPMED
Other - Prefix:
Other - First Name:ALEXANDRONS
Other - Middle Name:
Other - Last Name:CAMBANIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12291 WASHINGTON BLVD
Mailing Address - Street 2:PIH FAMILY PRACTICE CENTER
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-2500
Mailing Address - Country:US
Mailing Address - Phone:562-698-2541
Mailing Address - Fax:562-698-4981
Practice Address - Street 1:12291 WASHINGTON BLVD
Practice Address - Street 2:PIH FAMILY PRACTICE CENTER
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2500
Practice Address - Country:US
Practice Address - Phone:562-698-2541
Practice Address - Fax:562-698-4981
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72127207Q00000X
NC207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine