Anderson, Justin Bentley

Anderson, Justin Bentley is an individual health care provider with primary practice located at 22 Corporate Plaza Dr , Newport Beach CA 92660-7985. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Anderson, Justin Bentley can be contacted via phone (949) 722-7038.

Contact Information

Primary practice address
22 Corporate Plaza Dr Newport Beach CA 92660-7985
Phone: (949) 722-7038
Fax: (949) 630-4900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA21823 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA21823 California

Profile Details

NPI number 1487924007
LBN Legal business name Anderson, Justin Bentley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2012
Last updated Nov 29th, 2021 - about 3 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 1487924007 NPPES
California Other FT736Y PTAN

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