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Search › California › 343900000X

Jack Anderson

NPI 1215507983 · on the registry since 2021 · sole proprietor

Practice

Address
879 W 190th St Ste 400
Gardena, CA 90248
Phone
(310) 887-6382
Organisation at this address
Qismah, Inc
Hear Now Inc.
A.F.F.R.E.E.C.A.
Front Focus Clinic
Zion Care Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
391

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-07

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