Provider Demographics
NPI:1275212342
Name:MORROW, ANDREW RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RAYMOND
Last Name:MORROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 TOPANGA CANYON BLVD APT C305
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-4659
Mailing Address - Country:US
Mailing Address - Phone:818-921-0147
Mailing Address - Fax:
Practice Address - Street 1:172 N TUSTIN ST STE 101
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-7780
Practice Address - Country:US
Practice Address - Phone:714-576-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35169111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor