Kristin Eileen Kea Andrade, m.d.
Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1184774580
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184774580
- Entity type
- Individual (NPI-1)
- Name
- Kristin Eileen Kea Andrade
- Credential
- m.d.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 10, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | a89016 | CA | Yes |
| 208000000X | Pediatrics | md-14035 | HI |
Other names
- Kristin Eileen Kea Phillips (Former Name)
Practice location
1240 N Mission RdRoom L-902
Los Angeles, CA 90033-1019
Phone 323-226-3691
Mailing address
19431 Newhouse StCanyon Country, CA 91351-2783
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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