Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FX1100X | Ophthalmic | G24340 | CA |
Y | 207W00000X | Ophthalmologist | G24340 | CA |
NPI | 1922041904 |
---|---|
Provider Name | Dr. W Andrew Cies |
First Address | Newport Beach, CA 92660-7687 |
Second Address | Newport Beach, CA 92660-7687 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 29/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G24340 | (02) | CA |