Provider Demographics
NPI:1598114076
Name:CIRNER, ANDREW HAROLD (MPA, LPT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:HAROLD
Last Name:CIRNER
Suffix:
Gender:M
Credentials:MPA, LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13935 MARK DR
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-6002
Mailing Address - Country:US
Mailing Address - Phone:760-333-7577
Mailing Address - Fax:
Practice Address - Street 1:13935 MARK DR
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-6002
Practice Address - Country:US
Practice Address - Phone:760-333-7577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-06
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29421247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other