Individual
ANDRE VERESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17822 BEACH BLVD, SUIT 473, HUNTINGTON BEACH, CA 92647-7101
(714) 842-5589
(714) 842-5580
Mailing address
17822 BEACH BLVD, SUIT 473, HUNTINGTON BEACH, CA 92647-7101
(714) 842-5589
(714) 842-5580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A21424
CA
208D00000X
General Practice Physician
A21424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A214240
—
CA
Enumeration date
10/16/2006
Last updated
04/22/2013
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