Provider Demographics
NPI:1407894215
Name:ANDREWS, TODD L (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:L
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1000
Mailing Address - Country:US
Mailing Address - Phone:661-747-2140
Mailing Address - Fax:661-480-2560
Practice Address - Street 1:8200 N LAURELGLEN BLVD
Practice Address - Street 2:APT 1503
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-2344
Practice Address - Country:US
Practice Address - Phone:661-747-2140
Practice Address - Fax:661-480-2560
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74597207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G745970Medicare ID - Type Unspecified
CAF82274Medicare UPIN