Healthcare Provider Details

I. General information

NPI: 1487561726
Provider Name (Legal Business Name): ANDREW STRAIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 WILSHIRE BLVD BLDG 218
LOS ANGELES CA
90073-1003
US

IV. Provider business mailing address

920 VENICE BLVD APT 218
VENICE CA
90291-4967
US

V. Phone/Fax

Practice location:
  • Phone: 562-578-8869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: