MEDICARE: DR. JOANA MAE ANDOH MD

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	207W00000X	Ophthalmology Physician	A207635	CA

General Provider Information

NPI Number	:	1376276139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANA MAE ANDOH MD

Provider Business Mailing Address
First Line	:	PO BOX 276950
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-6950
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	795 EL CAMINO REAL
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94301-2302
Country	:	US
Telephone Number	:	866-681-0738
Fax Number	:

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

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	06/17/2026

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