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NPI Code Detail

MEDICARE: ANDREA NEE

MEDICARE: ANDREA NEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR1100XResearch Clinic/Center
2261QR1100XResearch Clinic/CenterCA

General Provider Information

NPI Number : 1033673124
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA NEE
Provider Business Mailing Address
First Line : 2644 30TH ST STE 100
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2644 30TH ST STE 100
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-3051
Country : US
Telephone Number : 310-351-4244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 01/23/2019

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Directions to “ ANDREA NEE ” Practice Location

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