Doctor Name: | MR. ANDREW DAVID SZALAS |
NPI Number: | 1205159548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 19033 |
Business Practice Address: | 3529 Firestone Blvd South Gate, CA - 902803031 |
Business Phone Number: | 3235661700 |
Business Fax Number: | 3235663816 |
Mailing Address: | 3529 Firestone Blvd, SOUTH GATE |
State: | CA |
Postal Code: | 902803031 |
Phone Number: | 3235661700 |
Fax Number: | 3235663816 |
NPI Enumeration Date: | 03/01/2010 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 19033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |