Provider Demographics
NPI:1972965838
Name:AGRAWAL, ALPNA
Entity Type:Individual
Prefix:
First Name:ALPNA
Middle Name:
Last Name:AGRAWAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALPNA
Other - Middle Name:
Other - Last Name:KAPUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD, MPH
Mailing Address - Street 1:270 26TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-2543
Mailing Address - Country:US
Mailing Address - Phone:310-426-8343
Mailing Address - Fax:
Practice Address - Street 1:270 26TH ST STE 203
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90402-2543
Practice Address - Country:US
Practice Address - Phone:310-426-8343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-22
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1561762084P0800X
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program