| NPI | 1043272487 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-04-03 |
| Last Updated | 2016-10-21 |
| Mailing Address | 1536 W 25th St, Suite 208 San Pedro, CA 90732-4415 United States Phone: (310) 213-5484 | Fax: (310) 326-3744 📍 View Map |
| Primary Practice Address | 1536 W 25th St, Suite 208 San Pedro, CA 90732-4415 United States Phone: (310) 213-5484 | Fax: (310) 326-3744 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 00A415731 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208600000X – Surgery | CA | A41573 |
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About NPI 1043272487
Andrew Jan Hajduczek M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043272487. The primary specialty listed is Surgery. The provider is located in San Pedro, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043272487?
NPI 1043272487 belongs to Andrew Jan Hajduczek M.D., a Surgery in San Pedro, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043272487 active?
The current status of NPI 1043272487 in the NPPES registry is Active. The record was last updated on 2016-10-21.
What specialty is NPI 1043272487?
NPI 1043272487 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043272487?
You can verify NPI 1043272487 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043272487?
The primary practice address on file for NPI 1043272487 is 1536 W 25th St, San Pedro, CA 90732-4415. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043272487 issued?
NPI 1043272487 was first issued (enumerated) on 2006-04-03. The NPPES record was last updated on 2016-10-21.
Practice Location Map
Andrew Jan Hajduczek is located at 1536 W 25th St, San Pedro, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Andrew Jan Hajduczek. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043272487. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | A41573 | CA |