Individual
MR. FIDEL ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11420 WARNER AVE, FOUNTAIN VALLEY, CA 92708-2529
(714) 549-1300
(714) 433-3100
Mailing address
17360 BROOKHURST STREET, ATTN: CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
(657) 241-3592
(714) 665-4614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 13293
CA
Other
Enumeration date
12/01/2005
Last updated
01/17/2018
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