Individual
ARIEL A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8501 LARKDALE AVE, SAN DIEGO, CA 92123-2047
(619) 200-9052
Mailing address
2220 BROADWAY, SAN DIEGO, CA 92102-1926
(619) 200-9052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1141898
MOLINA HEALTH CARE
CA
Enumeration date
02/25/2020
Last updated
02/25/2020
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