Provider Demographics
NPI:1194984765
Name:LINK, ALEXIS ADAMS (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:ADAMS
Last Name:LINK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEXIS
Other - Middle Name:MARY
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 9445
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27515-9445
Mailing Address - Country:US
Mailing Address - Phone:310-882-3151
Mailing Address - Fax:310-882-3151
Practice Address - Street 1:19191 S VERMONT AVE STE 610
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1051
Practice Address - Country:US
Practice Address - Phone:310-882-3151
Practice Address - Fax:310-882-3151
Is Sole Proprietor?:No
Enumeration Date:2008-06-08
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1039512084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry