Healthcare Provider Details

I. General information

NPI: 1801084603
Provider Name (Legal Business Name): JAMES C. ANDREWS, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2007
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD SUITE 303
BEVERLY HILLS CA
90211-2900
US

IV. Provider business mailing address

PO BOX 926
MANHATTAN BEACH CA
90267-0926
US

V. Phone/Fax

Practice location:
  • Phone: 818-349-0680
  • Fax: 310-318-2446
Mailing address:
  • Phone: 310-478-4308
  • Fax: 310-318-2446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License NumberG45948
License Number StateCA

VIII. Authorized Official

Name: DR. JAMES CHRISTOPHER ANDREWS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-478-4308