Individual
DR. AMY T BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
320 SUPERIOR AVE STE 170, NEWPORT BEACH, CA 92663-6139
(949) 574-0574
(949) 574-0573
Mailing address
320 SUPERIOR AVE STE 170, NEWPORT BEACH, CA 92663-6139
(949) 574-0574
(949) 574-0573
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
20A5862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MDN 108649-1
WORKMANS COMP
CA
Enumeration date
09/20/2006
Last updated
07/28/2010
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