Individual
ANDREW STUART WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8635 W 3RD ST, SUITE 965W, LOS ANGELES, CA 90048-6106
(310) 657-3792
(310) 657-3799
Mailing address
8635 W 3RD ST, SUITE 965W, LOS ANGELES, CA 90048-6106
(310) 657-3792
(310) 657-3799
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G51967
CA
207RP1001X
Pulmonary Disease Physician
Primary
G51967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056470
—
CA
Enumeration date
09/22/2006
Last updated
04/13/2023
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