Individual
ANDREA FUMIKO HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4867 W SUNSET BLVD, PEDIATRICS 5TH FLOOR, LOS ANGELES, CA 90027-5969
(323) 783-1502
Mailing address
5318 WEST BLVD, LOS ANGELES, CA 90043-2416
(626) 260-1833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A10287
CA
Other
Enumeration date
03/14/2008
Last updated
11/18/2021
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