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Contact Information

ANDRA MEDICAL GROUP
3831 HUGHES AVE STE 604
CULVER CITY, CA90232-6848
 Phone: 310-340-7750
 Fax: 310-876-0651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ANDRA MEDICAL GROUP

NPI Number 1295229086
LBN Legal business name ANDRA MEDICAL GROUP
Authorized official JANELLE HAIDER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2018
Last updated 03/20/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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