Provider Demographics
NPI:1770020083
Name:PITRUZZELLO, ANDRIJANA JEVTIC (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDRIJANA
Middle Name:JEVTIC
Last Name:PITRUZZELLO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:ANDRIJANA
Other - Middle Name:
Other - Last Name:JEVTIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5175 E PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3317
Mailing Address - Country:US
Mailing Address - Phone:562-270-5840
Mailing Address - Fax:
Practice Address - Street 1:5175 E PACIFIC COAST HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3317
Practice Address - Country:US
Practice Address - Phone:562-270-5840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-24
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32642111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition