Individual
DR. BRIAN CORNELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 3RD AVE, CHULA VISTA, CA 91910-5616
(619) 585-4049
(619) 585-4015
Mailing address
525 3RD AVE, CHULA VISTA, CA 91910-5616
(619) 585-4049
(619) 585-4015
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G30998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G309980
—
CA
Enumeration date
08/03/2006
Last updated
06/14/2013
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