# ANDERSEN ORTHOPEDICS, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235575051
- **Authorized official:** DR. LUCILLE B ANDERSEN M.D. (PRESIDENT)
- **Authorized official phone:** (925) 400-6900

## Contact information

- **Practice address:** 913 SAN RAMON VALLEY BLVD, SUITE 182, DANVILLE, CA 94526
- **Practice address phone:** (925) 400-6900
- **Practice address fax:** (925) 553-7310
- **Mailing address:** 913 SAN RAMON VALLEY BLVD, SUITE 182, DANVILLE, CA 94526
- **Mailing address phone:** (925) 400-6900
- **Mailing address fax:** (925) 553-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C54414 | CA | Yes |

## Other

- **Enumeration date:** 05/20/2013
- **Last updated:** 10/28/2022