Individual
DR. ANDREW HENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, STE. 302, LAGUNA HILLS, CA 92653-3665
(949) 588-2020
(949) 588-0336
Mailing address
23961 CALLE DE LA MAGDALENA, STE. 302, LAGUNA HILLS, CA 92653-3665
(949) 588-2020
(949) 588-0336
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G36573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G365730
—
CA
Enumeration date
09/02/2005
Last updated
11/23/2007
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