Basic Information
Provider Information
NPI: 1750700290
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIUSTINI
FirstName: ANDREW
MiddleName: JAMES
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 725 WELCH RD
Address2:  
City: PALO ALTO
State: CA
PostalCode: 943041601
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 725 WELCH RD
Address2:  
City: PALO ALTO
State: CA
PostalCode: 943041601
CountryCode: US
TelephoneNumber: 6504978000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2014
LastUpdateDate: 05/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LP3000XA137719CAN Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
207LP3000XMD203486ORN Allopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207L00000XA137719CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home