Healthcare Provider Details

I. General information

NPI: 1013850379
Provider Name (Legal Business Name): ANDREW TODD COCHRAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7441 VANALDEN AVE
RESEDA CA
91335-2524
US

IV. Provider business mailing address

7945 YOLANDA AVE
RESEDA CA
91335-1857
US

V. Phone/Fax

Practice location:
  • Phone: 818-609-0777
  • Fax:
Mailing address:
  • Phone: 818-609-0777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: