Provider Demographics
NPI:1952368920
Name:CHOP, ALEXANDER M (PHD MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:M
Last Name:CHOP
Suffix:
Gender:M
Credentials:PHD MD
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Mailing Address - Street 1:47474 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-8846
Mailing Address - Country:US
Mailing Address - Phone:800-898-2020
Mailing Address - Fax:844-897-3788
Practice Address - Street 1:44139 MONTEREY AVE STE A
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-8700
Practice Address - Country:US
Practice Address - Phone:760-779-0800
Practice Address - Fax:760-779-0801
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NY226559-1207W00000X
CAA80309207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02433223Medicaid
NYFC4284472OtherDEA
H57167Medicare UPIN
NYRB2968Medicare PIN