Individual
ANDREA KALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 898-1448
(714) 898-8864
Mailing address
6042 BOLSA AVE, HUNTINGTON BEACH, CA 92647-2443
(714) 898-1448
(714) 898-8864
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A69647
CA
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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