ANDRE VAN MOL MD; NPI #1881753382

Contact Information

ANDRE VAN MOL MD

3580 SANTA ROSA WAY
REDDING, CA 96003

Phone: 530-222-3225
Fax: 530-222-1219
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for ANDRE VAN MOL MD

NPI Number 1881753382

LBN Legal business name ANDRE VAN MOL MD

Authorized official ANDRE VAN MOL - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/08/2006

Last updated 04/18/2013 - About 13 years ago

Identifiers

CA	License #	G62379
CA	Other	G62379	MD LICENSE

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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