Individual
BRETT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S MAIN ST, ORANGE, CA 92868-4509
(714) 509-7070
Mailing address
138 MARKETVIEW, IRVINE, CA 92602-1606
(714) 335-0933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA63647
CA
Other
Enumeration date
07/10/2023
Last updated
11/27/2024
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