| James L Andrews Md Inc | |
|
393 Blossom Hill Rd Suite 301 San Jose CA 95123-1652 | |
| (408) 629-6188 | |
| (408) 578-6635 |
| Full Name | James L Andrews Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 393 Blossom Hill Rd, San Jose, California |
| Authorized Official Name and Position | James L Andrews (OWNER) |
| Authorized Official Contact | 4086296188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James L Andrews Md Inc 393 Blossom Hill Rd Suite 301 San Jose CA 95123-1652 Ph: (408) 629-6188 | James L Andrews Md Inc 393 Blossom Hill Rd Suite 301 San Jose CA 95123-1652 Ph: (408) 629-6188 |
| NPI Number | 1730525411 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 12/29/2022 |
| Medicare PECOS PAC ID | 9537307517 |
|---|---|
| Medicare Enrollment ID | O20130603000638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730525411 | NPI | - | NPPES |
| 00G319421 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G31942 (California) | Primary |
| Provider Name | James L Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326259052 PECOS PAC ID: 9032357009 Enrollment ID: I20130603000587 |
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