Individual
DR. IDEN DAVID ANDACHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7111 INDIANA AVE STE 100, RIVERSIDE, CA 92504-4557
(951) 276-9012
(951) 276-9163
Mailing address
7111 INDIANA AVE STE 100, RIVERSIDE, CA 92504-4557
(951) 276-9012
(951) 276-9163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A106941
CA
2086S0129X
Vascular Surgery Physician
A106941
CA
Other
Enumeration date
08/28/2007
Last updated
12/01/2021
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