Provider Demographics
NPI:1770210965
Name:SLOWIK, ALEXANDRA HELENE (PA)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:HELENE
Last Name:SLOWIK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27345 JEFFERSON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5601
Mailing Address - Country:US
Mailing Address - Phone:951-699-9201
Mailing Address - Fax:
Practice Address - Street 1:27345 JEFFERSON AVE STE 100
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-5601
Practice Address - Country:US
Practice Address - Phone:951-699-9201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant