Provider Demographics
NPI:1356917843
Name:ALEXA MEDICAL CENTER
Entity type:Organization
Organization Name:ALEXA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-900-5115
Mailing Address - Street 1:PO BOX 10627
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93912-7627
Mailing Address - Country:US
Mailing Address - Phone:831-900-5115
Mailing Address - Fax:831-900-5115
Practice Address - Street 1:850 FREEDOM BLVD
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-3814
Practice Address - Country:US
Practice Address - Phone:831-900-5115
Practice Address - Fax:831-900-5115
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MELISSA E. LARSEN, MD, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center