Healthcare Provider Details

I. General information

NPI: 1518804376
Provider Name (Legal Business Name): ANDREA SIMON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6442 PLATT AVE # 1827
WEST HILLS CA
91307-3216
US

IV. Provider business mailing address

6442 PLATT AVE # 1827
WEST HILLS CA
91307-3216
US

V. Phone/Fax

Practice location:
  • Phone: 818-446-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number73908
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: