Provider Demographics
NPI:1578740684
Name:OWEN, ANDREW CHRISTIAN (DO, DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHRISTIAN
Last Name:OWEN
Suffix:
Gender:M
Credentials:DO, DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:731 CLARADAY ST
Mailing Address - Street 2:APT 6
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-6502
Mailing Address - Country:US
Mailing Address - Phone:541-205-2840
Mailing Address - Fax:
Practice Address - Street 1:731 CLARADAY ST
Practice Address - Street 2:APT 6
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-6502
Practice Address - Country:US
Practice Address - Phone:541-205-2840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2016-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A14864207Q00000X
ORDO173027207Q00000X
OR00000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine