| Doctor Name: | ANDREW LAST |
| NPI Number: | 1225353576 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A121836 |
| Business Practice Address: | 4112 E Commerce Way Sacramento, CA - 958349680 |
| Business Phone Number: | 9164476337 |
| Business Fax Number: | 9162839939 |
| Mailing Address: | Po Box 619115, ROSEVILLE |
| State: | CA |
| Postal Code: | 956619115 |
| Phone Number: | 9162069568 |
| Fax Number: | |
| NPI Enumeration Date: | 03/30/2010 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A121836 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |