Provider Demographics
NPI:1962907337
Name:CROWERS, ALYSSA BROOKE-DELPIZZO (MD)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:BROOKE-DELPIZZO
Last Name:CROWERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:BROOKE
Other - Last Name:DELPIZZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 W ARBOR DR # MC8809
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1911
Mailing Address - Country:US
Mailing Address - Phone:619-543-2165
Mailing Address - Fax:619-543-5996
Practice Address - Street 1:200 W ARBOR DR # MC8809
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1911
Practice Address - Country:US
Practice Address - Phone:619-543-2165
Practice Address - Fax:619-543-5996
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA173305207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program