Organization
ANDREW JANIK, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW STEPHEN JANIK M.D. (PRESIDENT)
(760) 776-4770
Entity
Organization
Contact information
Practice address
41750 RANCHO LAS PALMAS DR, SUITE C3, RANCHO MIRAGE, CA 92270-5511
(760) 776-4770
(760) 776-4772
Mailing address
41750 RANCHO LAS PALMAS DR, SUITE C3, RANCHO MIRAGE, CA 92270-5511
(760) 776-4770
(760) 776-4772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC31001
CA
2084P0800X
Psychiatry Physician
Primary
G25917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225000128
NPI
CA
01
—
1992777098
NPI
CA
Enumeration date
10/24/2007
Last updated
10/24/2007
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