Healthcare Provider Details

I. General information

NPI: 1669907275
Provider Name (Legal Business Name): ANDREW ESKANDER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2017
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18021 SKY PARK CIR STE G
IRVINE CA
92614-6569
US

IV. Provider business mailing address

316 OLIVE AVE #4
HUNTINGTON BEACH CA
92648-7701
US

V. Phone/Fax

Practice location:
  • Phone: 949-774-2890
  • Fax: 949-861-5890
Mailing address:
  • Phone: 949-774-2890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE5656
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: