Andrew Breithaupt, M.D.
Dermatology, MOHS-Micrographic Surgery in Los Angeles, CA. Individual provider (NPI-1).
NPI number1437460359
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1437460359
- Entity type
- Individual (NPI-1)
- Name
- Andrew Breithaupt
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2010
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | A118094 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
200 Med PlzSuite 450
Los Angeles, CA 90095-0001
Phone 310-825-6911
Mailing address
200 Med PlzSuite 450
Los Angeles, CA 90095-0001
Phone 310-825-6911
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