MEDICARE: DR. ANDRIS LORENZO VEISS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 27976	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00368921	OTHER	CA	RAILROAD MEDICARE PTAN
2	ZZZ04993Z	OTHER	CA	MEDICARE GROUP PTAN
3	0PT279762	OTHER	CA	MEDICARE PTAN

General Provider Information

NPI Number	:	1265461461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDRIS LORENZO VEISS PT

Provider Business Mailing Address
First Line	:	8302 ESPRESSO DR
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93312-5687
Country	:	US
Telephone Number	:	661-377-1700
Fax Number	:

Provider Business Practice Location Address
First Line	:	13125 ROSEDALE HWY
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93314-9449
Country	:	US
Telephone Number	:	661-377-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	09/03/2015

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