Provider Demographics
NPI:1881323145
Name:LENTINI, ALEXANDRA METZGER
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:METZGER
Last Name:LENTINI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ALI
Other - Middle Name:METZGER
Other - Last Name:LENTINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1647 IOWA ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-2068
Mailing Address - Country:US
Mailing Address - Phone:949-521-3796
Mailing Address - Fax:
Practice Address - Street 1:23 CORPORATE PLAZA DR STE 150
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7908
Practice Address - Country:US
Practice Address - Phone:949-910-3197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist