Individual provider · NPI-1
Alexandra Nur Ozder
Physician Assistant, Medical · Moorpark, CA
NPI number1164047338
StatusActive
Last updated in NPPESSep 11, 2021
Details
- NPI
- 1164047338
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Nur Ozder
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 12, 2020
- Certification date
- Sep 11, 2021
- Last updated
- Sep 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
865 Patriot DrMoorpark, CA 93021-3407
Phone 805-532-2032
Mailing address
1745 Blossom CtNewbury Park, CA 91320-5908
Phone 805-405-4309
Other practice locations
1310 Club Dr
Vallejo, CA 94592-1187
Vallejo, CA 94592-1187
Phone 805-405-4309
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