| Doctor Name: | ANDRE VERESS |
| NPI Number: | 1124108345 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A21424 |
| Business Practice Address: | 17822 Beach Blvd Suit 473 Huntington Beach, CA - 926477101 |
| Business Phone Number: | 7148425589 |
| Business Fax Number: | 7148425580 |
| Mailing Address: | 17822 Beach Blvd, Suit 473 HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926477101 |
| Phone Number: | 7148425589 |
| Fax Number: | 7148425580 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 04/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A21424 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |