Active NPI 1659315752 Individual Practitioner Male Practitioner

Dr. Edwin R Alexander , MD

Internal Medicine • Orange, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Alexander, MD is a certified Internal Medicine practicing in Orange, CA. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Alexander delivers high-quality medical care to the local community at 1140 W LA VETA AVE.

Dr. Alexander accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, management and supervision of oxygen chamber therapy per session. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1140 W La Veta Ave

Orange, CA 928684227

Telephone 7145507575

Fax 7145507550

Associated Practice Facility / Clinic

🏢 Entrust Medical Corporation Facility NPI 1922090372

Medicare Profile & Education

Medical School

Other

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Orange, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +14.1 yrs vs City Avg

City Avg: 16.9 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

190 Specialists

Practicing in Orange, CA (18502 Statewide)

Telehealth Adoption Rate

23.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Alexander (31 Years) 31 Yrs

Orange Specialty Average (16.9 Years) 16.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	509	45	$260.00	$101.06
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	465	157	$75.00	$67.23
99183 Management and supervision of oxygen chamber therapy per session	460	12	$300.00	$107.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	423	163	$350.00	$193.04
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	298	151	$75.00	$33.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	289	48	$350.00	$149.94
99213 Established patient office or other outpatient visit, typically 15 minutes	187	54	$160.00	$97.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	183	46	$350.00	$157.97
11044 Removal of bone, 20.0 sq cm or less	144	24	$400.00	$230.97
93000 Routine ekg using at least 12 leads including interpretation and report	137	131	$45.00	$15.50
69210 Removal of impacted ear wax	136	131	$60.00	$51.44
94010 Test to measure expiratory airflow and volume	135	131	$50.00	$30.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$150.00	$140.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	75	$260.00	$138.22
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	36	36	$450.00	$184.54
93880 Ultrasound of both sides of head and neck blood flow	36	36	$375.00	$216.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$250.00	$188.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	544	172	$350.00	$192.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	435	172	$75.00	$67.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	43	$260.00	$102.70
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	327	169	$75.00	$34.02
99183 Management and supervision of oxygen chamber therapy per session	317	16	$300.00	$110.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	311	52	$350.00	$151.08
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	200	48	$350.00	$159.85
99213 Established patient office or other outpatient visit, typically 15 minutes	130	52	$160.00	$97.94
69210 Removal of impacted ear wax	122	117	$60.00	$52.03
93000 Routine ekg using at least 12 leads including interpretation and report	121	117	$45.00	$15.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$150.00	$139.35
94010 Test to measure expiratory airflow and volume	117	117	$50.00	$30.51
11044 Removal of bone, 20.0 sq cm or less	103	19	$400.00	$234.48
11042 Removal of skin and tissue, 20.0 sq cm or less	59	31	$100.00	$62.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	44	$260.00	$135.67
93880 Ultrasound of both sides of head and neck blood flow	51	51	$375.00	$221.00
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	50	50	$450.00	$185.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$250.00	$190.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	570	177	$350.00	$196.45
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	463	172	$75.00	$69.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	35	$260.00	$105.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	312	42	$350.00	$155.65
99183 Management and supervision of oxygen chamber therapy per session	288	15	$300.00	$113.55
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	210	115	$75.00	$35.05
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	178	38	$350.00	$163.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	133	20	$150.00	$108.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	77	$260.00	$141.41
69210 Removal of impacted ear wax	119	109	$60.00	$52.36
11044 Removal of bone, 20.0 sq cm or less	112	20	$400.00	$238.40
93000 Routine ekg using at least 12 leads including interpretation and report	110	106	$45.00	$15.86
94010 Test to measure expiratory airflow and volume	106	105	$50.00	$30.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$150.00	$143.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	42	$110.00	$62.45
99213 Established patient office or other outpatient visit, typically 15 minutes	66	46	$160.00	$98.50
11042 Removal of skin and tissue, 20.0 sq cm or less	43	11	$100.00	$64.61
99497 Advance care planning, first 30 minutes	32	26	$160.00	$86.24
93880 Ultrasound of both sides of head and neck blood flow	27	27	$375.00	$226.68
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	27	27	$450.00	$193.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$250.00	$195.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	21	$275.00	$205.62
99239 Hospital discharge day management, more than 30 minutes	23	20	$175.00	$112.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	483	166	$332.61	$199.27
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	379	160	$75.00	$45.09
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	255	38	$334.12	$158.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	36	$239.18	$98.35
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	155	35	$350.00	$166.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	118	118	$150.00	$145.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	68	$243.49	$143.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	105	17	$150.00	$110.45
93000 Routine ekg using at least 12 leads including interpretation and report	103	97	$45.00	$16.56
99497 Advance care planning, first 30 minutes	99	87	$160.00	$92.75
69210 Removal of impacted ear wax	99	91	$60.00	$52.97
94010 Test to measure expiratory airflow and volume	96	95	$50.00	$34.21
11042 Removal of skin and tissue, 20.0 sq cm or less	80	23	$100.00	$65.38
G0444 Annual depression screening, 5 to 15 minutes	71	71	$50.00	$21.20
99213 Established patient office or other outpatient visit, typically 15 minutes	66	50	$156.97	$101.43
11044 Removal of bone, 20.0 sq cm or less	66	16	$400.00	$241.86
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	35	34	$450.00	$196.66
93880 Ultrasound of both sides of head and neck blood flow	35	34	$375.00	$235.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	21	$107.77	$63.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	29	11	$200.00	$115.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$250.00	$199.32
99239 Hospital discharge day management, more than 30 minutes	21	17	$175.00	$114.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	15	$275.00	$214.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	885	63	$140.00	$85.38
99183 Management and supervision of oxygen chamber therapy per session	601	23	$284.03	$119.16
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	433	177	$75.00	$45.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	418	172	$200.00	$161.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	228	23	$150.00	$112.89
11042 Removal of skin and tissue, 20.0 sq cm or less	200	40	$100.00	$65.49
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	132	33	$350.00	$163.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	69	$140.00	$115.62
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	123	35	$200.00	$117.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	114	42	$200.00	$121.15
11044 Removal of bone, 20.0 sq cm or less	100	23	$400.00	$247.37
69210 Removal of impacted ear wax	87	83	$60.00	$53.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	84	84	$150.00	$128.57
93000 Routine ekg using at least 12 leads including interpretation and report	80	76	$45.00	$19.14
94010 Test to measure expiratory airflow and volume	78	76	$50.00	$41.05
99213 Established patient office or other outpatient visit, typically 15 minutes	58	44	$110.00	$79.81
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	37	37	$450.00	$199.66
93880 Ultrasound of both sides of head and neck blood flow	37	37	$375.00	$233.07
99239 Hospital discharge day management, more than 30 minutes	36	24	$175.00	$116.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	23	$275.00	$212.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$250.00	$182.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	14	$65.00	$26.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	78	$140.00	$83.99
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	486	192	$75.00	$45.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	420	190	$200.00	$158.08
11042 Removal of skin and tissue, 20.0 sq cm or less	288	51	$100.00	$64.87
99183 Management and supervision of oxygen chamber therapy per session	204	13	$200.00	$116.14
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	181	52	$200.00	$116.82
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	169	43	$350.00	$163.85
94010 Test to measure expiratory airflow and volume	167	156	$50.00	$40.27
69210 Removal of impacted ear wax	166	153	$60.00	$51.67
93000 Routine ekg using at least 12 leads including interpretation and report	165	155	$45.00	$18.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$150.00	$127.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	108	19	$150.00	$110.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	71	$140.00	$117.89
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	64	64	$450.00	$196.50
93880 Ultrasound of both sides of head and neck blood flow	64	64	$375.00	$232.66
99213 Established patient office or other outpatient visit, typically 15 minutes	59	43	$110.00	$81.71
11044 Removal of bone, 20.0 sq cm or less	47	16	$400.00	$244.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$250.00	$179.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	26	$200.00	$118.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	16	$35.00	$18.16
99239 Hospital discharge day management, more than 30 minutes	24	18	$175.00	$115.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	18	$275.00	$215.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	11	$84.00	$50.25
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	13	12	$5.01	$0.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	642	210	$75.00	$46.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	56	$140.00	$83.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	335	192	$200.00	$158.31
94010 Test to measure expiratory airflow and volume	197	171	$50.00	$40.94
69210 Removal of impacted ear wax	193	173	$60.00	$53.06
93000 Routine ekg using at least 12 leads including interpretation and report	190	172	$45.00	$18.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	117	$140.00	$117.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$150.00	$128.81
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	137	36	$350.00	$165.56
11042 Removal of skin and tissue, 20.0 sq cm or less	126	36	$100.00	$61.59
99213 Established patient office or other outpatient visit, typically 15 minutes	117	71	$110.00	$79.37
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	95	30	$200.00	$117.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	94	20	$150.00	$111.32
99183 Management and supervision of oxygen chamber therapy per session	74	12	$200.00	$116.70
93880 Ultrasound of both sides of head and neck blood flow	48	48	$375.00	$230.49
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	48	48	$450.00	$196.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$250.00	$179.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	21	$275.00	$216.55
99239 Hospital discharge day management, more than 30 minutes	25	19	$175.00	$116.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$84.00	$48.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$250.00	$213.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$200.00	$175.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	685	105	$140.00	$83.79
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	572	200	$75.00	$46.19
69210 Removal of impacted ear wax	387	191	$60.00	$54.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	348	77	$350.00	$168.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	162	$140.00	$118.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	261	164	$200.00	$158.00
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	251	19	$85.00	$60.14
99183 Management and supervision of oxygen chamber therapy per session	232	21	$200.00	$117.27
94010 Test to measure expiratory airflow and volume	188	174	$50.00	$40.93
93000 Routine ekg using at least 12 leads including interpretation and report	183	173	$45.00	$18.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$150.38	$127.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	124	18	$150.00	$110.73
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	77	27	$200.00	$117.17
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	75	15	$200.00	$54.33
11042 Removal of skin and tissue, 20.0 sq cm or less	71	37	$100.00	$60.68
93880 Ultrasound of both sides of head and neck blood flow	54	52	$375.00	$187.34
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	54	52	$450.00	$263.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$250.00	$179.85
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$250.00	$224.74
11044 Removal of bone, 20.0 sq cm or less	25	11	$400.00	$247.00
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$110.00	$80.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	19	$275.00	$215.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$200.00	$188.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$200.00	$118.44
99239 Hospital discharge day management, more than 30 minutes	20	15	$175.00	$115.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA A74683

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Janine Hendrickson , RNP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1033326780

Dr. Theresa Lembesis , PharmD

Pharmacist

NPI 1043499296

Doctor of Pharmacy (Pharm.D.)

Jennifer Judelson , PA-C

Physician Assistant

NPI 1053477216

Physician Assistant (Certified)

Dr. Lauren Tran , PharmD

Pharmacist

NPI 1073798708

Doctor of Pharmacy (Pharm.D.)

Dr. Edward Lee , MD

Otolaryngology

NPI 1114926672

Doctor of Medicine (M.D.)

Dr. Mayank Pathak , MD

Psychiatry & Neurology - Neurology

NPI 1114959475

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 13, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2009

Registered at 1140 W LA VETA AVE, ORANGE, CA 928684227 (Tel: 7145507575)

📍

Updated Business Mailing Address November 13, 2009

Registered at 1140 W LA VETA AVE, ORANGE, CA 928684227 (Tel: 7145507575)

👤

Provider Name / Credentials Updated November 13, 2009

Recorded as EDWIN ALEXANDER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2009

Internal Medicine (License #A74683 in CA)

🟢

Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659315752

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 16, 2006

Last Update: November 13, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1140 W La Veta Ave

Orange, CA 928684227

Phone: 7145507575

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.