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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