Provider Demographics
NPI:1982101762
Name:MOCK, ANDREW JEFFERY (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JEFFERY
Last Name:MOCK
Suffix:
Gender:M
Credentials:MD, MPH
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4699 JAMBOREE RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2526
Mailing Address - Country:US
Mailing Address - Phone:949-557-0951
Mailing Address - Fax:949-557-0952
Practice Address - Street 1:4699 JAMBOREE RD
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2526
Practice Address - Country:US
Practice Address - Phone:949-557-0951
Practice Address - Fax:949-557-0952
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1635872083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine