Provider Demographics
NPI:1245112861
Name:STUDER, ANDREW MOTOI
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:MOTOI
Last Name:STUDER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANDY
Other - Middle Name:MOTOI
Other - Last Name:STUDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10866 WASHINGTON BLVD # 197
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3610
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4024 HIGUERA ST
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2507
Practice Address - Country:US
Practice Address - Phone:323-487-9625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155068106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist