Provider Demographics
NPI:1104822600
Name:MCANDREW, PHILOMENA F (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILOMENA
Middle Name:F
Last Name:MCANDREW
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9090 WILSHIRE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1850
Mailing Address - Country:US
Mailing Address - Phone:310-888-8680
Mailing Address - Fax:310-888-1886
Practice Address - Street 1:9090 WILSHIRE BLVD
Practice Address - Street 2:STE 200
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1850
Practice Address - Country:US
Practice Address - Phone:310-888-8680
Practice Address - Fax:310-888-1886
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2008-04-30
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Provider Licenses
StateLicense IDTaxonomies
CAG47403207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE69151Medicare UPIN