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NPI Code Detail

MEDICARE: DR. CHRISTINE ANDERSON D.C.

MEDICARE:  DR. CHRISTINE  ANDERSON  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor20869CA

General Provider Information

NPI Number : 1730396110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE ANDERSON D.C.
Provider Business Mailing Address
First Line : 1445 N GARDNER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-4101
Country : US
Telephone Number : 323-436-2735
Fax Number :
Provider Business Practice Location Address
First Line : 1445 N GARDNER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90046-4101
Country : US
Telephone Number : 323-436-2735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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Directions to “ DR. CHRISTINE ANDERSON D.C.” Practice Location

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