Individual
ANDREW SOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A24999
CA
207R00000X
Internal Medicine Physician
Primary
R4047
AZ
390200000X
Student in an Organized Health Care Education/Training Program
R4047
AZ
Other
Enumeration date
03/30/2023
Last updated
06/25/2026
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