1801084603 NPI number — JAMES C. ANDREWS, M.D., INC.

Table of content: (NPI 1801084603)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801084603 NPI number — JAMES C. ANDREWS, M.D., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES C. ANDREWS, M.D., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801084603
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 926
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANHATTAN BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90267-0926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-478-4308
Provider Business Mailing Address Fax Number:
310-318-2446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8641 WILSHIRE BLVD
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90211-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-349-0680
Provider Business Practice Location Address Fax Number:
310-318-2446
Provider Enumeration Date:
10/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ANDREWS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
CHRISTOPHER
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
310-478-4308

Provider Taxonomy Codes

  • Taxonomy code: 207YX0901X , with the licence number:  G45948 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: WG45948D . This is a "OTHER PROVIDER ID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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