Provider Demographics
NPI:1538237755
Name:KLIKOFF, ALEXANDRA (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:KLIKOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:LIANE
Other - Last Name:KLIKOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3275 APTOS RANCHO RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3983
Mailing Address - Country:US
Mailing Address - Phone:831-688-8266
Mailing Address - Fax:831-688-0811
Practice Address - Street 1:3275 APTOS RANCHO RD
Practice Address - Street 2:SUITE E
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3983
Practice Address - Country:US
Practice Address - Phone:831-688-8266
Practice Address - Fax:831-688-0811
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83647207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G836470Medicare ID - Type Unspecified
CAG61712Medicare UPIN