Provider Demographics
NPI:1386362275
Name:ALEXANDER S TOVAR M D A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:ALEXANDER S TOVAR M D A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYCISIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:818-848-8311
Mailing Address - Street 1:201 S BUENA VISTA ST STE 425
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4571
Mailing Address - Country:US
Mailing Address - Phone:818-848-8311
Mailing Address - Fax:818-848-3314
Practice Address - Street 1:201 S BUENA VISTA ST STE 425
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4571
Practice Address - Country:US
Practice Address - Phone:818-848-8311
Practice Address - Fax:818-848-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty