Ezequiel Adony Andrade, MD is a
Family Medicine - Geriatric Medicine based in Harbor City, California. Ezequiel Adony Andrade is licensed to practice in California (license number A181210) and his current practice location is
1403 Lomita Blvd Ste 102, Harbor City, California. He can be reached at his office (for appointments etc.) via phone at
(424) 306-4000.
NPI number for Ezequiel Adony Andrade is 1689296576 and his current mailing address is 1403 Lomita Blvd Ste 200, Harbor City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689296576.
Healthcare Provider's Profile
Full Name | Ezequiel Adony Andrade |
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Gender | Male |
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Speciality | Family Medicine - Geriatric Medicine |
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Location | 1403 Lomita Blvd Ste 102, Harbor City, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689296576
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 02/18/2024
Medical Identifiers
Medical identifiers for Ezequiel Adony Andrade such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689296576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | A181210 (California) | Secondary |
207QG0300X | Family Medicine - Geriatric Medicine | A181210 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ezequiel Adony Andrade is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ezequiel Adony Andrade, MD 1403 Lomita Blvd Ste 200, Harbor City, CA 90710-2086 Ph: (424) 306-6500 | Ezequiel Adony Andrade, MD 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 Ph: (424) 306-4000 |
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