Individual
ANDREW THE-AN DO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7621 CANOGA AVE, CANOGA PARK, CA 91304-4912
(818) 598-6900
Mailing address
773 KYLE ST, SAN JOSE, CA 95127-1017
(408) 781-7413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A133669
CA
2084P0800X
Psychiatry Physician
Primary
A133669
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/26/2013
Last updated
07/21/2022
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