Individual
ANDREW E BERTAGNOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
7740 EL CAMINO REAL STE F, CARLSBAD, CA 92009-8514
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
11380
MA
103T00000X
Psychologist
1638
HI
103T00000X
Psychologist
Primary
PSY15734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00360060
RAILROAD MEDICARE
CA
Enumeration date
03/30/2007
Last updated
12/19/2025
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