La, Andrew C

La, Andrew C is an individual health care provider with primary practice located at 1510 S Central Ave #120 , Glendale CA 91204-2577. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. La, Andrew C can be contacted via phone (818) 242-3668.

Contact Information

Primary practice address
1510 S Central Ave #120 Glendale CA 91204-2577
Phone: (818) 242-3668
Fax: (818) 242-2425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4312 California

Profile Details

NPI number 1205937133
LBN Legal business name La, Andrew C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Dec 4th, 2009 - about 16 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 1205937133 NPPES
California MEDICAID 000E43121
California MEDICAID 000E43120
California MEDICAID 000E43122

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