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General NPI Number Information
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NPI Number | 1467468306
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Entity Type | Individual
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Provider Name | PATRICIA G. ANDERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 750 MEDICAL CENTER CT STE. 12
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City | CHULA VISTA
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State | CA
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Zip | 91911-6634
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Country | US
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Telephone | 619-656-2971
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Fax | 619-656-2981
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Provider Business Mailing Address
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Address Line | 750 MEDICAL CENTER CT STE. 6
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City | CHULA VISTA
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State | CA
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Zip | 91911-6634
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Country | US
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Telephone | 619-656-1010
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Fax | 619-656-1084
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A48621
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | A48621
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License Number State | CA
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