CARIE ALISE LEILANI ANDERSON NPI 1811343924

NPI Information

  • NPI: 1811343924
  • Provider Name: CARIE ALISE LEILANI ANDERSON
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 25761 LAWTON AVE
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (530) 321-7971

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NPI Details

CARIE ALISE LEILANI ANDERSON is a primary care clinic center in Loma Linda, CA. CARIE ALISE LEILANI ANDERSON NPI is 1811343924. The provider is registered as an organization entity type.

The provider's business location address is:

25761 LAWTON AVE
LOMA LINDA, CA
ZIP 92354-823
Phone: (530) 321-7971
Fax: (909) 478-7669

The provider's authorized official is Carie Leilani Anderson .
The authorized official title is Provider and has the following contact phone number (530) 321-7971.

The enumeration date for this NPI number is 5/6/2016 and was last updated on 4/19/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareAP60710618WASHINGTONNo
2261QP2300XClinic/CenterPrimary Care95005662CALIFORNIAYes

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: 3/30/2025

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