Provider Demographics
NPI:1821216904
Name:LAND, ALISA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:ALISA
Middle Name:JOY
Last Name:LAND
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1535 FERNWOOD PACIFIC DR
Mailing Address - Street 2:
Mailing Address - City:TOPANGA
Mailing Address - State:CA
Mailing Address - Zip Code:90290-3234
Mailing Address - Country:US
Mailing Address - Phone:310-428-2833
Mailing Address - Fax:888-558-6693
Practice Address - Street 1:2001 S BARRINGTON AVE STE 301
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5379
Practice Address - Country:US
Practice Address - Phone:310-428-2833
Practice Address - Fax:888-558-6693
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2021-12-28
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Provider Licenses
StateLicense IDTaxonomies
CAA959672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry