Most Relevant Information
Provider Data
| NPI Number: | 1003300211 |
| Provider Name: | ANDREA CARRASCO |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2018 |
| Last Updated: | 06/20/2018 |
Provider Practice Location
324 E BIXBY RD
LONG BEACH
CA
908073432
Practice Location Phone/Fax
| Phone: | 5625958111 |
| Fax: | 5625958148 |
Provider Mailing Location
324 E BIXBY RD
LONG BEACH
CA
908073432
Provider Mailing Phone/Fax
| Phone: | 5625958111 |
| Fax: | 5625958148 |