Provider Demographics
NPI:1932360880
Name:MARSHALL, ANDRE PAUL (MD)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:PAUL
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 N BEDFORD DR STE 206
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4350
Mailing Address - Country:US
Mailing Address - Phone:424-437-3200
Mailing Address - Fax:424-328-5898
Practice Address - Street 1:435 N BEDFORD DR STE 206
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4350
Practice Address - Country:US
Practice Address - Phone:424-437-3200
Practice Address - Fax:424-328-5898
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2025-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA155013208200000X
NC2015-012922086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery