Individual
ANDREW N. MYERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-7988
Mailing address
54433 FILE, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA158840
BLUE SHIELD OF CA
—
01
—
970022434
RAILROAD MEDICARE
—
05
—
PA15884
—
CA
Enumeration date
08/25/2006
Last updated
06/26/2009
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