Provider Demographics
NPI:1134840424
Name:CHRISTOPULOS, ALEXANDRIA (BA, AA)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:CHRISTOPULOS
Suffix:
Gender:F
Credentials:BA, AA
Other - Prefix:
Other - First Name:LEXI
Other - Middle Name:
Other - Last Name:CHRISTOPULOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:315 MERRILL AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7561
Mailing Address - Country:US
Mailing Address - Phone:510-552-9350
Mailing Address - Fax:
Practice Address - Street 1:166 SANTA CLARA AVE STE 205
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-1323
Practice Address - Country:US
Practice Address - Phone:510-601-1929
Practice Address - Fax:510-601-1947
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-06
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program