Provider Demographics
NPI:1134601388
Name:BEKEMEIER, ALEXANDRA KAY (MS, CGC)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:KAY
Last Name:BEKEMEIER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:MS
Other - First Name:ALEXANDRA
Other - Middle Name:KAY
Other - Last Name:ELLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CGC
Mailing Address - Street 1:5610 BARCLAY AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2902
Mailing Address - Country:US
Mailing Address - Phone:989-295-9465
Mailing Address - Fax:
Practice Address - Street 1:201 INDUSTRIAL RD
Practice Address - Street 2:SUITE 410
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070
Practice Address - Country:US
Practice Address - Phone:650-249-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001045170300000X
CA170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS