Organization
MP MCANDREW INC
Active
Organization
MP MCANDREW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES N ICKEN (CEO/PRESIDENT)
(415) 631-2571
Entity
Organization
Contact information
Practice address
1555 YOSEMITE AVE, STE 22, SAN FRANCISCO, CA 94124-3268
(415) 631-2571
Mailing address
13320 RIVERSIDE DR, STE 220, SHERMAN OAKS, CA 91423-2502
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
CA
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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