Individual
DR. JAMES S ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 S FAIR OAKS AVE STE 270&380, PASADENA, CA 91105-2613
(424) 314-0177
(424) 314-0180
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G71255
CA
208600000X
Surgery Physician
G71255
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G712550
—
CA
Enumeration date
09/15/2006
Last updated
06/08/2022
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