Individual
ANDREW CHARLES BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2707 E VALLEY BLVD STE 116, WEST COVINA, CA 91792-3196
(626) 581-1000
Mailing address
1601 CENTINELA AVE STE 5-M1024, INGLEWOOD, CA 90302-1076
(310) 902-0538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12230868
CA
Other
Enumeration date
02/07/2024
Last updated
03/31/2024
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