Individual
ANDREA MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3503
(805) 306-1440
(805) 306-0758
Mailing address
5675 TANNER RIDGE AVE, WESTLAKE VILLAGE, CA 91362-5236
(818) 706-7714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13192
CA
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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