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DEANDREA A MEDICAL CORPORATION NPI 1821029786


NPI Information

NPI: 1821029786
Provider Name: DEANDREA A MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1101 N PACIFIC AVE STE 104
GLENDALE, CA
ZIP 91202
Phone: (818) 552-5000
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DEANDREA A MEDICAL CORPORATION is a family medicine in Glendale, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DEANDREA A MEDICAL CORPORATION NPI is 1821029786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 N PACIFIC AVE STE 104
GLENDALE, CA
ZIP 91202-313
Phone: (818) 552-5000
Fax: (818) 552-2959

The provider's authorized official is Richard Anthony Deandrea .
The authorized official title is President and has the following contact phone number (818) 552-5000.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG74640CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G74640OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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