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NPI Code Detail

MEDICARE: ANDREA SHAY

MEDICARE: ANDREA SHAY
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
1104100000XSocial WorkerASW134027CA

General Provider Information

NPI Number : 1336673094
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA SHAY
Provider Business Mailing Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 408-364-4157
Fax Number : 408-364-4157
Provider Business Practice Location Address
First Line : 499 LOMA ALTA AVE
Second Line :
City : LOS GATOS
State : CA
Zip : 95030-6227
Country : US
Telephone Number : 408-364-4157
Fax Number : 408-364-4157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2017
Last Update Date : 01/08/2026

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Directions to “ ANDREA SHAY ” Practice Location

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