Provider Demographics
NPI:1427247568
Name:ALEX KINGSLEY DANSO M.D. INC
Entity type:Organization
Organization Name:ALEX KINGSLEY DANSO M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:KINGSLEY
Authorized Official - Last Name:DANSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-949-5404
Mailing Address - Street 1:44215 15TH ST W
Mailing Address - Street 2:#305
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4014
Mailing Address - Country:US
Mailing Address - Phone:661-949-5409
Mailing Address - Fax:661-949-5820
Practice Address - Street 1:44215 15TH ST W
Practice Address - Street 2:#305
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4014
Practice Address - Country:US
Practice Address - Phone:661-949-5409
Practice Address - Fax:661-949-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G517612Medicaid
CAG51761AMedicare PIN
CA00G517612Medicaid