Andersen, Barbara G.

Andersen, Barbara G. is an individual health care provider with primary practice located at 58295 29 Palms Hwy , Yucca Valley CA 92284-5803. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Andersen, Barbara G. can be contacted via phone (760) 365-6300.

Contact Information

Primary practice address
58295 29 Palms Hwy Yucca Valley CA 92284-5803
Phone: (760) 365-6300
Fax: (760) 396-1200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G52853 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G52853 California

Profile Details

NPI number 1255355053
LBN Legal business name Andersen, Barbara G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 1st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255355053 NPPES
California Other 4138200 AETNA
California MEDICAID GR0063580 AETNA
California Other P00759920 AETNA
California Other 3753022 AETNA

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