# ANDREW WASSEF MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861829277
- **Authorized official:** DR. ANDREW WASSEF MD (OWNER AND PHYSICIAN)
- **Authorized official phone:** (562) 310-6237

## Contact information

- **Practice address:** 17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-5109
- **Practice address phone:** (818) 986-0200
- **Practice address fax:** (818) 638-5762
- **Mailing address:** 2200 W THIRD ST, SUITE 400, LOS ANGELES, CA 90057-1901
- **Mailing address phone:** (213) 484-7600
- **Mailing address fax:** (818) 638-5762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A120817 | CA | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 02/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1982848099 | INS NPI | CA |
