Provider Demographics
NPI:1447959036
Name:ANDREONE, DAVID VICTOR
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:VICTOR
Last Name:ANDREONE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5110 CIMARRON LN
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-4307
Mailing Address - Country:US
Mailing Address - Phone:310-951-8713
Mailing Address - Fax:
Practice Address - Street 1:5110 CIMARRON LN
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-4307
Practice Address - Country:US
Practice Address - Phone:310-951-8713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist