Provider Demographics
NPI:1821133067
Name:CASTER, ANDREW I (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:I
Last Name:CASTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9100 WILSHIRE BLVD STE 265E
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3440
Mailing Address - Country:US
Mailing Address - Phone:310-274-1221
Mailing Address - Fax:310-274-0244
Practice Address - Street 1:9100 WILSHIRE BLVD STE 265E
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3440
Practice Address - Country:US
Practice Address - Phone:310-274-1221
Practice Address - Fax:310-274-0244
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG45953207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG45953CMedicare PIN