Provider Demographics
NPI:1902388903
Name:LOMEI, ANDREW (MS)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:LOMEI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 ACACIA ST STE B11
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-5444
Mailing Address - Country:US
Mailing Address - Phone:818-844-3376
Mailing Address - Fax:
Practice Address - Street 1:4955 DOWNING AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-1757
Practice Address - Country:US
Practice Address - Phone:626-261-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician