Provider Demographics
NPI:1770974321
Name:ALLEE, ALEXANDRIA (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:ALLEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3500 BARRANCA PKWY STE 160
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-8228
Mailing Address - Country:US
Mailing Address - Phone:949-336-6569
Mailing Address - Fax:949-336-6570
Practice Address - Street 1:3900 W COAST HWY
Practice Address - Street 2:SUITE 380
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-515-7300
Practice Address - Fax:888-850-3284
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA52176363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant