Individual
ANDREW VAN LEUVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1600 DOVE ST STE 100, NEWPORT BEACH, CA 92660-2438
(949) 502-3388
(949) 502-3304
Mailing address
1600 DOVE ST STE 100, NEWPORT BEACH, CA 92660-2438
(949) 502-3388
(949) 502-3304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 40467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB210572
MEDICARE PTAN
CA
Enumeration date
12/17/2013
Last updated
12/10/2018
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