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Contact Information

ANDREW BREITHAUPT, MD
200 MED PLZ
SUITE 450
LOS ANGELES, CA90095-0001
 Phone: 310-825-6911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDREW BREITHAUPT · (Male)

NPI Number 1437460359
Status Active
Credentials MD
Entity Individual
Enumeration date 06/25/2010
Last updated 09/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A118094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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