Individual
DR. ANDREW GERMANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4246
(657) 210-4096
(657) 210-4233
Mailing address
1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4246
(657) 210-4096
(657) 210-4233
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A12144
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
20A12144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114231
MEDICARE PTAN
CA
Enumeration date
06/05/2008
Last updated
01/03/2018
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