Individual
DR. ANDREW JAN HAJDUCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1536 W 25TH ST, SUITE 208, SAN PEDRO, CA 90732-4415
(310) 213-5484
(310) 326-3744
Mailing address
1536 W 25TH ST, SUITE 208, SAN PEDRO, CA 90732-4415
(310) 213-5484
(310) 326-3744
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A41573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A415731
—
CA
Enumeration date
04/03/2006
Last updated
10/21/2016
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