Search › California › 101YA0400X
Jeffrey Andersen
NPI 1164071650 · on the registry since 2019
Practice
- Address
- 270 W 14th St # 27
San Pedro, CA 90731 - Phone
- (310) 519-8723
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California