Andersen, James S

Andersen, James S is an individual health care provider with primary practice located at 625 S Fair Oaks Ave Ste 270&380 , Pasadena CA 91105-2613. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Andersen, James S can be contacted via phone (424) 314-0177.

Contact Information

Primary practice address
625 S Fair Oaks Ave Ste 270&380 Pasadena CA 91105-2613
Phone: (424) 314-0177
Fax: (424) 314-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G71255 California
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G71255 California

Profile Details

NPI number 1295831741
LBN Legal business name Andersen, James S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 8th, 2022 - about 2 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 1295831741 NPPES
California MEDICAID 00G712550

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