Individual
JUAN JOSE ANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 140, LOS ANGELES, CA 90095-8344
(310) 794-7700
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A177912
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301111723
MI
Other
Enumeration date
04/21/2017
Last updated
07/25/2023
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