Provider Demographics
NPI:1194077545
Name:NALBANDIAN, ANDREW P (COTA/L)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:P
Last Name:NALBANDIAN
Suffix:
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-2623
Mailing Address - Country:US
Mailing Address - Phone:207-756-5858
Mailing Address - Fax:866-789-8027
Practice Address - Street 1:1426 E 7TH ST
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-2623
Practice Address - Country:US
Practice Address - Phone:207-756-5858
Practice Address - Fax:866-789-8027
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA2076224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant