FIDEL ANDRADE

FOUNTAIN VALLEY, CA
NPI1578547782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA 13293)
Enumeration Date2005-12-01
Last Update Date2018-01-17
Business Address
Mr. FIDEL ANDRADE PA
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708-2529
Phone number: 714-549-1300
Mailing Address
Mr. FIDEL ANDRADE PA
17360 BROOKHURST STREET ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708-3720
Phone number: 657-241-3592
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