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Individual

ANNA HOUTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24302 PASEO DE VALENCIA STE 201, LAGUNA HILLS, CA 92653-3115
(949) 598-1701
(949) 598-1711
Mailing address
24302 PASEO DE VALENCIA STE 201, LAGUNA HILLS, CA 92653-3115
(949) 598-1701
(949) 598-1711

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A86277
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A86277
MEDICAL LICENSE
CA
01
CB231350
MEDICARE PTAN
CA
Enumeration date
05/11/2007
Last updated
05/19/2020
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