Healthcare Provider Details

I. General information

NPI: 1144836263
Provider Name (Legal Business Name): FERDINAND ANDY RIMANDO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 09/23/2020
Certification Date: 09/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9829 CARMENITA RD STE H
WHITTIER CA
90605-3262
US

IV. Provider business mailing address

9118 NATIONAL BLVD APT 5
LOS ANGELES CA
90034-4336
US

V. Phone/Fax

Practice location:
  • Phone: 562-907-7429
  • Fax:
Mailing address:
  • Phone: 443-570-2887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95059050
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: