Individual
JEFFREY J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2550 23RD ST FL 2, SAN FRANCISCO, CA 94110-3504
(628) 206-8812
(415) 647-3733
Mailing address
2550 23RD ST FL 2, SAN FRANCISCO, CA 94110-3504
(628) 206-8812
(415) 647-3733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G42755
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G42755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6353518
—
CA
01
—
P00607979
RR MEDICARE
CA
Enumeration date
08/21/2006
Last updated
12/02/2022
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