Individual
ANDREA VIJAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(949) 241-6171
Mailing address
37 CALLE MATTIS, SAN CLEMENTE, CA 92673-7050
(949) 241-6171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A189401
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
11/07/2024
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