Individual
DR. JOHN P ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3033 W ORANGE AVE, ANAHEIM, CA 92804-3156
(714) 229-4060
Mailing address
PO BOX 646, STANTON, CA 90680-0646
(562) 809-3513
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G25583
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G255830
—
CA
Enumeration date
08/23/2006
Last updated
07/01/2010
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