Provider Demographics
NPI:1598808404
Name:ANDREWS, TODD BYRON (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:BYRON
Last Name:ANDREWS
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 1:206 S PLACENTIA AVE
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5710
Mailing Address - Country:US
Mailing Address - Phone:714-572-3834
Mailing Address - Fax:714-986-9866
Practice Address - Street 1:206 S PLACENTIA AVE
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-5710
Practice Address - Country:US
Practice Address - Phone:714-572-3834
Practice Address - Fax:714-986-9866
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor