Provider Demographics
NPI:1427689256
Name:ALEJANDRO F CENTURION MD INC
Entity type:Organization
Organization Name:ALEJANDRO F CENTURION MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:F
Authorized Official - Last Name:CENTURION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:831-620-0763
Mailing Address - Street 1:100 CLOCK TOWER PL STE 225
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8778
Mailing Address - Country:US
Mailing Address - Phone:831-620-0763
Mailing Address - Fax:
Practice Address - Street 1:100 CLOCK TOWER PL STE 225
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-8778
Practice Address - Country:US
Practice Address - Phone:831-620-0763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty