MEDICARE: DR. ANDREW JAMES AKAMINE DDS

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	1223G0001X	General Practice Dentistry	DDS105304	CA

General Provider Information

NPI Number	:	1427655661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JAMES AKAMINE DDS

Provider Business Mailing Address
First Line	:	700 E REDLANDS BLVD STE U PMB 294
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92373
Country	:	US
Telephone Number	:	909-557-5560
Fax Number	:

Provider Business Practice Location Address
First Line	:	2618 S BRISTOL ST
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92704-5727
Country	:	US
Telephone Number	:	714-540-7101
Fax Number	:

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

Provider Enumeration Date	:	10/01/2020
Last Update Date	:	05/09/2024

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