Provider Demographics
NPI:1770666307
Name:ALKANA, TERRY L (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:L
Last Name:ALKANA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19000 HAWTHORNE BLVD
Mailing Address - Street 2:STEPHEN C DINSMORE MD INC #110
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1517
Mailing Address - Country:US
Mailing Address - Phone:310-318-9313
Mailing Address - Fax:310-372-8605
Practice Address - Street 1:19000 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-370-3628
Practice Address - Fax:310-371-7863
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
CAWG41544207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAD9568506OtherDEA
CAW455Medicare ID - Type Unspecified
CAWG41544Medicare ID - Type Unspecified
CAWG41544EMedicare ID - Type Unspecified
CAWG41544FMedicare ID - Type Unspecified
CAW455AMedicare ID - Type Unspecified
CAAD9568506OtherDEA