Individual
JOHN ANDREW HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 532-4200
Mailing address
650 CALIFORNIA AVE, VENICE, CA 90291-3440
(706) 831-3693
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A132202
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2013
Last updated
07/06/2016
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