Individual
DR. ANDREW G. MONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 S HALCYON RD, SUITE 106, ARROYO GRANDE, CA 93420-3872
(805) 473-3705
(805) 473-4832
Mailing address
PO BOX 160, ARROYO GRANDE, CA 93421-0160
(805) 473-3705
(805) 473-4832
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A69536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A695360
BLUE SHIELD OF CA
CA
01
—
00A695360
SBHA PIN
—
05
—
00A695360
—
CA
01
—
0214363
WASHINGTON STATE DOL
—
01
—
11435679
CAQH ID NUMBER
CA
01
—
605890700
USDL
—
01
—
7962591
AETNA
—
01
—
RHC149609
X-RAY SUPERVISOR & OPERATOR
CA
01
—
ZZZ624728Z
TRIWEST
—
Enumeration date
10/21/2005
Last updated
01/12/2009
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