Andersen, Jeffrey

Andersen, Jeffrey is an individual health care provider with primary practice located at 270 W 14Th St # 27 , San Pedro CA 90731-4396. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Andersen, Jeffrey can be contacted via phone (310) 519-8723.

Contact Information

Primary practice address
270 W 14Th St # 27 San Pedro CA 90731-4396
Phone: (310) 519-8723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 92845 California

Profile Details

NPI number 1164071650
LBN Legal business name Andersen, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2019
Last updated Sep 6th, 2019 - about 6 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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