Organization
ANDREW GERMANOVICH DO AN OSTEOPATHIC CORPORATION
Active
Organization
ANDREW GERMANOVICH DO AN OSTEOPATHIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GERMANOVICH DO (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
1120 W LA VETA AVE STE 300, ORANGE, CA 92868-4246
(949) 588-2190
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A12144
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
20A12144
CA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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