MR. JOHN FRED ANDERSON NPI 1780123216

NPI Information

MR. John Fred Anderson is a student in an organized health care education training program in Pacific Palisades, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. John Fred Anderson NPI is 1780123216. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17093 PALISADES CIR
PACIFIC PALISADES, CA
ZIP 90272-139
Phone: (310) 717-6456

The NPI 1780123216 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).

The enumeration date for this NPI number is 2/16/2017 and was last updated on 2/16/2017.

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:

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