Deandrea A Medical Corporation in Glendale - Family Medicine
Deandrea A Medical Corporation - NPI 1821029786
Deandrea A Medical Corporation is a Family Medicine in Glendale, California. Deandrea A Medical Corporation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Deandrea A Medical Corporation is 1821029786. The last update date is 2023-03-07.
Deandrea A Medical Corporation's current location address is 1101 N Pacific Ave Ste 104, Glendale, California. You can contact this provider via phone number 8185525000 and fax number 8185522959. The mailing address for Deandrea A Medical Corporation is 1101 N Pacific Ave Ste 104, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Deandrea A Medical Corporation |
|---|---|
| Address | 1101 N Pacific Ave Ste 104, Glendale, California |
| Phone Number | 8185525000 |
| Fax Number | 8185522959 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Deandrea Anthony Richard |
| Credentials | MD |
| Telephone Number | 8185525000 |
NPI Number Detail
| NPI Number | 1821029786 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1101 N Pacific Ave Ste 104 |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912024313 |
| Phone Number | 8185525000 |
| Fax Number | 8185522959 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | G74640 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G74640 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Deandrea A Medical Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Deandrea A Medical Corporation has been assigned the NPI (National Provider Identifier) 1821029786. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Deandrea A Medical Corporation is physically located?
The Deandrea A Medical Corporation is physically situated at the following address: 1101 N Pacific Ave Ste 104, Glendale, CA, 912024313.
What is Deandrea A Medical Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Deandrea A Medical Corporation is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1821029786 to Deandrea A Medical Corporation?
The Deandrea A Medical Corporation received its 1821029786 assignment from the Centers for Medicare & Medicaid Services on 2006-07-06.
As of what date were the details pertaining to Deandrea A Medical Corporation last refreshed?
The information related to the Deandrea A Medical Corporation, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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