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NPI Code Detail

MEDICARE: DR. ANDREW I CASTER M.D.

MEDICARE: DR. ANDREW I CASTER M.D.
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
1207W00000XOphthalmology PhysicianG45953CA

General Provider Information

NPI Number : 1821133067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW I CASTER M.D.
Provider Business Mailing Address
First Line : 9100 WILSHIRE BLVD STE 265E
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-3440
Country : US
Telephone Number : 310-274-1221
Fax Number : 310-274-0244
Provider Business Practice Location Address
First Line : 9100 WILSHIRE BLVD STE 265E
Second Line :
City : BEVERLY HILLS
State : CA
Zip : 90212-3440
Country : US
Telephone Number : 310-274-1221
Fax Number : 310-274-0244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 04/30/2014

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