Andrew R. McIntosh, M.D. Inc.

Primary specialty

EEG TechnicianTaxonomy code 2472E0500X

License

A85055 Issued in CA

Legal business name

ANDREW R. MCINTOSH, M.D. INC.

Practice address

30131 Town Center Dr
Suite 195
Laguna Niguel, CA 92677-2034

Phone

(949) 249-3780

Fax

(949) 249-3730

NPI assigned

Apr 22, 2013

Last updated

Apr 22, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andrew R. McIntosh, M.D.

Title

Owner

Phone

(949) 249-3780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1326482225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "SUITE 195",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772034",
            "telephone_number": "949-249-3780",
            "fax_number": "949-249-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "SUITE 195",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772034",
            "telephone_number": "949-249-3780",
            "fax_number": "949-249-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW R. MCINTOSH, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-249-3780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": "CA",
            "license": "A85055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.