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Individual

DAVID M ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8631 W 3RD ST, SUITE 1015E, LOS ANGELES, CA 90048-5901
(310) 358-2300
(310) 358-8960
Mailing address
8631 W 3RD ST, SUITE 1015E, LOS ANGELES, CA 90048-5901
(310) 358-2300
(310) 358-8960

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A61878
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A618780
CA
Enumeration date
07/12/2006
Last updated
07/08/2007
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