MEDICARE: DR. CHRISTOPHER ASANDRA 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
1	207P00000X	Emergency Medicine Physician	130701	CA

General Provider Information

NPI Number	:	1841229010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER ASANDRA M.D.

Provider Business Mailing Address
First Line	:	606 W WISCONSIN AVE UNIT 2100
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53203-1924
Country	:	US
Telephone Number	:	414-699-8686
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 N ROBERTSON BLVD STE 250
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2145
Country	:	US
Telephone Number	:	424-542-8881
Fax Number	:

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

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	07/27/2021

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