Provider Demographics
NPI:1205159548
Name:SZALAS, ANDREW DAVID (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:DAVID
Last Name:SZALAS
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3529 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-3031
Mailing Address - Country:US
Mailing Address - Phone:323-566-1700
Mailing Address - Fax:323-566-3816
Practice Address - Street 1:3529 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-3031
Practice Address - Country:US
Practice Address - Phone:323-566-1700
Practice Address - Fax:323-566-3816
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-01
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily