Organization
CHARLIE ANDERSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANCE ANDERSON MD (OWNER)
(818) 521-4292
Entity
Organization
Contact information
Practice address
7820 JELLICO AVE, NORTHRIDGE, CA 91325-4337
(818) 521-4292
Mailing address
7820 JELLICO AVE, NORTHRIDGE, CA 91325-4337
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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