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Organization
KATHLEEN M. ANDERSEN, O.D., INC.
Active
Organization
KATHLEEN M. ANDERSEN, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARIE ANDERSEN O.D. (PRESIDENT)
(949) 589-6171
Entity
Organization
Contact information
Practice address
22312 EL PASEO STE D, RANCHO SANTA MARGARITA, CA 92688-5803
(949) 589-6171
(949) 589-0657
Mailing address
22312 EL PASEO STE D, RANCHO SANTA MARGARITA, CA 92688-5803
(949) 589-6171
(949) 589-0657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8187T
CA
Other
Enumeration date
04/24/2007
Last updated
12/05/2012
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