Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ALEXIS GABRIELLE BADILLO
Active Sole ProprietorSpecialist/Technologist, Other · SAN DIEGO, CA
Registration Details
- NPI Number
- 1639869167
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2023 (2.9538965491019 yrs)
- Last Updated
- May 9, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
3148 MIDWAY DRSAN DIEGO, CA, 921104539Browse CA providers · Browse ZIP 92110
- Phone
- 6193630853
- Primary Specialty
-
Specialist/Technologist, Other
246Y00000X
- Additional Specialty
- Counselor
Other Specialist/Technologist, Other Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LESLIE SMART | M.D. | 1518249168 |
| LAURA DENISE VICTORIA | — | 1790476489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.