Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 157673 | CA |
N | 208600000X | Surgeon | 157673 | CA |
Y | 2086S0120X | Pediatric Surgery | 157673 | CA |
NPI | 1144547977 |
---|---|
Provider Name | Dr. Andrei Radulescu |
First Address | Loma Linda, CA 92350-3471 |
Second Address | Loma Linda, CA 92350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2010 |
Last Update Date | 21/08/2018 |