Alexandra Marie Dewulf
OSF MEDICAL GROUP OF CALIFORNIA INC


Address: 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Phone: 8187791500

Alexandra Marie Dewulf (NPI# 1578911764, PAC ID# 0042598666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1578911764
PAC ID by PECOS 0042598666
Professional Enrollment ID I20161101001922
Full Name Alexandra Marie Dewulf
Organization Legal Name OSF MEDICAL GROUP OF CALIFORNIA INC
Address 14649 Victory Blvd
Suite 24
Van Nuys
CA 91411-4101
Phone Number 8187791500
Gender F
Medical School UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7315835238
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050007 PENINSULA MEDICAL CENTER

Other Locations

Address Phone Organization
326 W Main St, Suite 120, Santa Maria, CA 93458-5070 8059259997 OSF MEDICAL GROUP OF CALIFORNIA INC
326 W Main St, Santa Maria, CA 93458-5070 8059259997 OSF MEDICAL GROUP OF CALIFORNIA INC
14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101 8187791500 OSF MEDICAL GROUP OF CALIFORNIA INC
14649 Victory Blvd, Van Nuys, CA 91411-4101 8187791500 OSF MEDICAL GROUP OF CALIFORNIA INC

Organization Information

Organization Legal Name OSF MEDICAL GROUP OF CALIFORNIA INC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Amit Nathani Orthopedic Surgery Osf Medical Group of California Inc 401 E Carrillo St, Santa Barbara, CA 93101-1460
Jesse Jacobs Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Stephanie Nichole Thiriot Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Tristan Zhang Physical Medicine and Rehabilitation Osf Medical Group of California Inc 401 E Carrillo St, Santa Barbara, CA 93101-1460
Kenneth A Nisbet Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Alan P Moelleken Orthopedic Surgery Osf Medical Group of California Inc 401 E Carrillo St, Santa Barbara, CA 93101-1460
Emily N Walwood Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Johanna M Rooijakkers Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Richard Jason Hartman Orthopedic Surgery Osf Medical Group of California Inc 401 E Carrillo St, Santa Barbara, CA 93101-1460
Kara Elizabeth Georgiadis Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101

Office Location

Street Address 14649 VICTORY BLVD
SUITE 24
City VAN NUYS
State CA
Zip 91411-4101

Physicians in the same location

Name Specialty Organization Address
Jesse Jacobs Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Stephanie Nichole Thiriot Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Hanan Lobel Internal Medicine 14649 Victory Blvd, Suite 10, Van Nuys, CA 91411-4101
Josef Lobel Internal Medicine 14649 Victory Blvd, Suite 10, Van Nuys, CA 91411-4101
Anita Emperatriz Gonzalez General Practice 14649 Victory Blvd, Suite 20, Van Nuys, CA 91411-4101
Ebrahim Hakimian General Practice 14649 Victory Blvd, Suite 22, Van Nuys, CA 91411-4101
Kenneth A Nisbet Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Emily N Walwood Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Johanna M Rooijakkers Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
Kara Elizabeth Georgiadis Physician Assistant Osf Medical Group of California Inc 14649 Victory Blvd, Suite 24, Van Nuys, CA 91411-4101
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Physicians in the same zip code

Name Specialty Organization Address
Vijaya K Katukota Internal Medicine El Dorado Community Service Center 6265 Sepulveda Blvd, Suite 10, Van Nuys, CA 91411-1127
Jobert B Poblete Psychiatry San Fernando Valley Community Mental Health Center 14515 Hamlin St, Suite 200, Van Nuys, CA 91411-1608
Seung Kyum Lee Psychiatry San Fernando Valley Community Mental Health Center 14515 Hamlin St, Suite 200, Van Nuys, CA 91411-1608
Damian Robledo Clinical Social Worker Southern California Medical Center Inc 14550 Haynes St, Van Nuys, CA 91411-1613
John C Petitt Family Medicine Southern California Medical Center Inc 14550 Haynes St, Van Nuys, CA 91411-1613
Pedram Kohan Internal Medicine Southern California Medical Center Inc 14550 Haynes St, Van Nuys, CA 91411-1613
Albemar M Espiritu Podiatry Malkhas Medical Group Inc 14555 Hamlin St, Suite 108, Van Nuys, CA 91411-1617
Asher Ram Internal Medicine 14547 Victory Blvd, Van Nuys, CA 91411-1619
Myung Hoon Lee Family Medicine 14614 Victory Blvd, Van Nuys, CA 91411-1621
Simon Nazarian Chiropractic 14540 Victory Blvd, Suite 101, Van Nuys, CA 91411-1697
Find all physicians in zip 91411

Competitor

Search similar physicians

City VAN NUYS
Zip Code 91411
Specialty PHYSICIAN ASSISTANT
City + Specialty VAN NUYS + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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