Provider Demographics
NPI:1760063044
Name:MACE, ANDREW IRA (DO)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:IRA
Last Name:MACE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1202 MARICOPA HWY STE C
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3170
Mailing Address - Country:US
Mailing Address - Phone:805-640-0068
Mailing Address - Fax:805-640-1749
Practice Address - Street 1:1202 MARICOPA HWY STE C
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3170
Practice Address - Country:US
Practice Address - Phone:805-640-0068
Practice Address - Fax:805-640-1749
Is Sole Proprietor?:No
Enumeration Date:2021-04-18
Last Update Date:2025-09-15
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Provider Licenses
StateLicense IDTaxonomies
CA20A22074207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine