MEDICARE: DR. CHARLES EDWARD ANDERSON JR. MD

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	G44919	CA

General Provider Information

NPI Number	:	1386646347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES EDWARD ANDERSON JR. MD

Provider Business Mailing Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:	STE E408
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4868
Country	:	US
Telephone Number	:	760-969-5200
Fax Number	:	760-969-5201

Provider Business Practice Location Address
First Line	:	1180 N INDIAN CANYON DR
Second Line	:	STE E408
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4800
Country	:	US
Telephone Number	:	760-969-5200
Fax Number	:	760-969-5201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1871595660 — DR. LAWRENCE W. SERIF D.O.
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE W-201
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-4511
Practice Fax: 760-416-4512

1649272337 — DR. DOUGLAS JAY ROGER M.D.
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE W-201
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-4511
Practice Fax: 760-416-4512

1528050457 — PAUL T MANNEY P.A.
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE W-201
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-4511
Practice Fax: 760-416-4512

1639161243 — DR. KENNETH THOMAS LEE M.D.
Practice Location Address:

1180 N INDIAN CANYON DR , STE E205
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-325-1202
Practice Fax: 760-864-7105

1174519508 — DONALD E. R. POISSON NPP
Practice Location Address:

1180 N INDIAN CANYON DR , SUITE 408
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-969-5200
Practice Fax: 760-969-5201

1013904424 — SAIED HABIBIPOUR M.D.
Practice Location Address:

1180 N INDIAN CANYON DR , E318
PALM SPRINGS, CA
92262-4800

Practice Phone: 760-416-1376
Practice Fax: 760-416-1381

Directions to “ DR. CHARLES EDWARD ANDERSON JR. MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.