Provider Demographics
NPI:1689893356
Name:CHRISTENSEN, ANDREW (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:CHRISTENSEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:502 PORTOLA PLAZA
Mailing Address - Street 2:FRANZ HALL A225
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1563
Mailing Address - Country:US
Mailing Address - Phone:310-837-1548
Mailing Address - Fax:323-467-3022
Practice Address - Street 1:9171 WILSHIRE BLVD
Practice Address - Street 2:SUITE 600
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5530
Practice Address - Country:US
Practice Address - Phone:310-837-1548
Practice Address - Fax:323-467-3022
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY 5387103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical