Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G78191 | CA |
NPI | 1205048485 |
---|---|
Provider Name | Dr. Andrew Samuel Frankel |
First Address | Beverly Hills, CA 90212-3610 |
Second Address | Beverly Hills, CA 90212-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G36601 | (02) | CA |
G78191 | STATE LICENSE # (01) | CA |