Individual
ANDREW STANITSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3121 MAINWAY DR, ROSSMOOR, CA 90720-4815
(562) 397-3811
(562) 493-3971
Mailing address
3121 MAINWAY DR, ROSSMOOR, CA 90720-4815
(562) 397-3811
(562) 493-3971
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A6873
CA
207Q00000X
Family Medicine Physician
20A6873
CA
Other
Enumeration date
10/16/2006
Last updated
07/16/2010
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