Individual
GRETCHEN JANE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA.- C
Contact information
Practice address
200 N MAIN ST FL 18, LOS ANGELES, CA 90012-4110
(213) 978-3800
Mailing address
1336 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266-5232
(818) 212-8881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014249
NY
363A00000X
Physician Assistant
Primary
22195
CA
Other
Enumeration date
10/07/2010
Last updated
12/10/2025
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