Individual
ANDREI C FODOREANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7514 GIRARD AVE STE 1405, LA JOLLA, CA 92037-5149
(619) 290-1344
Mailing address
7514 GIRARD AVE STE 1405, LA JOLLA, CA 92037-5149
(619) 290-1344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A122579
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2011
Last updated
12/06/2021
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