Healthcare Provider Details

I. General information

NPI: 1932527116
Provider Name (Legal Business Name): CAROLINE ANDLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 06/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS BOX 0110
SAN FRANCISCO CA
94143-0110
US

IV. Provider business mailing address

505 PARNASSUS BOX 0110
SAN FRANCISCO CA
94143-0110
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-6245
  • Fax:
Mailing address:
  • Phone: 949-290-8719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA142393
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: