Individual
AUDREY DANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3100 SAN PABLO AVE # 310, BERKELEY, CA 94702
(925) 985-5020
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G60885
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G608850
—
CA
Enumeration date
08/16/2005
Last updated
07/02/2018
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