Provider Demographics
NPI:1366519829
Name:GOINGS, ANDREA C (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:C
Last Name:GOINGS
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2945 TOWNSGATE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-5866
Mailing Address - Country:US
Mailing Address - Phone:818-797-5437
Mailing Address - Fax:844-424-5437
Practice Address - Street 1:2945 TOWNSGATE RD STE 200
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5866
Practice Address - Country:US
Practice Address - Phone:818-797-5437
Practice Address - Fax:844-424-5437
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058682208000000X
CAA85048208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA058682OtherSTATE LICENSE
OH35-084869OtherOHIO LICENSE