Provider Demographics
NPI:1730541483
Name:BELOPOLSKAYA, ALEXANDRA V (M D)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:V
Last Name:BELOPOLSKAYA
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2051 MARENGO ST
Mailing Address - Street 2:IPT C4E100
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1352
Mailing Address - Country:US
Mailing Address - Phone:818-445-2251
Mailing Address - Fax:
Practice Address - Street 1:23055 SHERMAN WAY UNIT 4631
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91308-7037
Practice Address - Country:US
Practice Address - Phone:818-888-7815
Practice Address - Fax:818-715-1722
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA151874207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology