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Contact Information

LADA ALEXEENKO, MD
1001 SNEATH LANE
OFFICE 204
SAN BRUNO, CA94066
 Phone: 650-616-6222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LADA ALEXEENKO · (Female)

NPI Number 1982870457
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2008
Last updated 02/04/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A140937
  • NY License # 263740
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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