Andalisia Healthcare Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ANDALISIA HEALTHCARE INC.

Doing business as

Andalisia Healthcare

Practice address

9135 W Olympic Blvd
Beverly Hills, CA 90212-3539

Phone

(310) 246-0035

NPI assigned

Aug 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shera Allen

Title

Secretary

Phone

(310) 246-0059

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Andalisia Healthcare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1154978633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 W OLYMPIC BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123539",
            "telephone_number": "310-246-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 W OLYMPIC BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123539",
            "telephone_number": "310-246-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDALISIA HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHERA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "310-246-0059",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "1336308451",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUOUNCTURE",
            "identifier": "1225335086",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1144487190",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1326449075",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andalisia Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• John Edward Andraos, PHARM.D.

• Chiropractor in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.