| NPI | 1902022890 |
|---|---|
| Other Name | ANDREW J. HENNING |
| Entity Type | Organization |
| Authorized Contact | ROXANA MATA Physician Assistant 805-928-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |