Individual
EZEQUIEL ADONY ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1403 LOMITA BLVD STE 102, HARBOR CITY, CA 90710-2084
(424) 306-4000
Mailing address
1403 LOMITA BLVD STE 200, HARBOR CITY, CA 90710-2086
(424) 306-6500
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A181210
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A181210
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2020
Last updated
02/18/2024
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