Provider Demographics
NPI:1982835393
Name:MP MCANDREW INC
Entity Type:Organization
Organization Name:MP MCANDREW INC
Other - Org Name:VALLEY CENTER FOR REPRODUCTIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MCANDREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-217-7249
Mailing Address - Street 1:5062 LANKERSHIM BLVD
Mailing Address - Street 2:SUITE 3018
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13320 RIVERSIDE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-2502
Practice Address - Country:US
Practice Address - Phone:818-217-7249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA05D0946046291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory