Provider Demographics
NPI:1548498199
Name:MP MCANDREW INC
Entity type:Organization
Organization Name:MP MCANDREW INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCANDREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-205-8910
Mailing Address - Street 1:5062 LANKERSHIM BLVD
Mailing Address - Street 2:STE 3018
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4225
Mailing Address - Country:US
Mailing Address - Phone:818-205-8910
Mailing Address - Fax:
Practice Address - Street 1:5062 LANKERSHIM BLVD
Practice Address - Street 2:STE 3018
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-4225
Practice Address - Country:US
Practice Address - Phone:818-205-8910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103995207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty