Individual
ANDREW HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 RACE ST, SAN JOSE, CA 95126-4823
(408) 971-9822
Mailing address
1263 SUMMER BLOSSOM AVE, SAN JOSE, CA 95122-2968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
CA
Enumeration date
02/06/2017
Last updated
02/06/2017
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