Organization
ANDREW WASSEF MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW WASSEF MD (OWNER AND PHYSICIAN)
(562) 310-6237
Entity
Organization
Contact information
Practice address
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316-5109
(818) 986-0200
(818) 638-5762
Mailing address
2200 W THIRD ST, SUITE 400, LOS ANGELES, CA 90057-1901
(213) 484-7600
(818) 638-5762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A120817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982848099
INS NPI
CA
Enumeration date
09/30/2013
Last updated
02/21/2014
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