Provider Demographics
NPI:1285088328
Name:FOLICK, ANDREW KENJI (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:KENJI
Last Name:FOLICK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1414 S GRAND AVE STE 456
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3071
Mailing Address - Country:US
Mailing Address - Phone:213-745-6047
Mailing Address - Fax:213-748-9715
Practice Address - Street 1:1414 S GRAND AVE STE 456
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3071
Practice Address - Country:US
Practice Address - Phone:323-256-3884
Practice Address - Fax:213-748-9715
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA153782207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine