Organization · NPI-2

Alexa Manrriquez MD PC

Pediatrics, Hospice and Palliative Medicine · Los Angeles, CA

NPI number1336076512
StatusActive
Last updated in NPPESMay 4, 2026

Details

NPI
1336076512
Entity type
Organization (NPI-2)
Legal business name
Alexa Manrriquez MD PC
Organization subpart
No
Enumeration date
May 4, 2026
Certification date
May 4, 2026
Last updated
May 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080H0002X Pediatrics, Hospice and Palliative Medicine––Yes
208000000X Pediatrics––

Practice location

707 N Avenue 64
Los Angeles, CA 90042-2138

Phone 714-824-0867

Mailing address

707 N Avenue 64
Los Angeles, CA 90042-2138

Authorized official

Alexa Noelle Manrriquez
Ceo
7148240867

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