Gray, Andrew T
Gray, Andrew T is an individual health care provider with primary practice located at 150 N Robertson Blvd Suite 300, Beverly Hills CA 90211-2142. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Gray, Andrew T can be contacted via phone (310) 652-2562.Contact Information
Primary practice address
150 N Robertson Blvd Suite 300
Beverly Hills CA 90211-2142
Phone: (310) 652-2562
Fax: (310) 652-2843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA22797 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA22797 | California |
Profile Details
| NPI number | 1396083192 |
|---|---|
| LBN Legal business name | Gray, Andrew T |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2013 |
| Last updated | Oct 28th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396083192 | NPPES |
| California | Other | PA22797 | MEDICAL LICENSE NUMBER |
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