Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deandrea a Medical Corporation

Organization Family Medicine Physician · NPI 1821029786

Deandrea a Medical Corporation provides Family Medicine Physician services in Glendale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1101 N Pacific Ave Ste 104
Glendale, CA 91202-4313
Phone: (818) 552-5000
Fax: (818) 552-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G74640 (CA)

Record details

NPI number1821029786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Deandrea — President · (818) 552-5000
NPI enumeratedJuly 6, 2006
Last updated in NPPESMarch 7, 2023
Mailing address1101 N Pacific Ave Ste 104, Glendale, CA 91202-4313

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