Individual
DR. JUAN MIGUEL ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2613 SATURN AVENUE, HUNTINGTON PARK, CA 90255
(323) 588-7371
(323) 588-1427
Mailing address
PO BOX 830, ALHAMBRA, CA 91802-0830
(323) 588-7371
(323) 588-1427
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A38298
CA
207YX0901X
Otology & Neurotology Physician
Primary
A38298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A38298
MEDICAL LICENSE
CA
Enumeration date
03/27/2007
Last updated
06/18/2010
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