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DR. GRAHAM DOUGLAS ANDERSEN DC DACBSP CCN NPI 1972613370


NPI Information

NPI: 1972613370
Provider Name: DR. GRAHAM DOUGLAS ANDERSEN, DC, DACBSP, CCN
Classification: Chiropractor - 111N00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
916 E IMPERIAL HWY
BREA, CA
ZIP 92821
Phone: (714) 990-0824
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DR. Graham Douglas Andersen, DC, DACBSP, CCN is a chiropractor in Brea, CA with 39 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Graham Douglas Andersen, DC, DACBSP, CCN NPI is 1972613370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PASADENA COLLEGE OF CHIROPRACTIC
Graduation Year:1985

The provider's business location address is:

916 E IMPERIAL HWY
BREA, CA
ZIP 92821-612
Phone: (714) 990-0824
Fax: (714) 990-1917

The NPI 1972613370 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/27/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianDC17373CALIFORNIANo
2133N00000XNutritionist3910CALIFORNIANo
3111N00000XChiropractorDC17373CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T064570MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.