Hajduczek, Andrew Jan

Hajduczek, Andrew Jan is an sole proprietor health care provider with primary practice located at 1536 W 25Th St Suite 208, San Pedro CA 90732-4415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hajduczek, Andrew Jan can be contacted via phone (310) 213-5484.

Contact Information

Primary practice address
1536 W 25Th St Suite 208 San Pedro CA 90732-4415
Phone: (310) 213-5484
Fax: (310) 326-3744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A41573 California

Profile Details

NPI number 1043272487
LBN Legal business name Hajduczek, Andrew Jan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Oct 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043272487 NPPES
California MEDICAID 00A415731

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