Organization Name: | ALBERT ANDERSON MEDICAL CORPORATION |
NPI Number: | 1700083771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERT R ANDERSON (MEDICAL DIRECTOR) |
Mailing Address: | 552 S Paseo Dorotea Suite 2 Palm Springs |
State: | CA US |
Postal Code: | 922641437 |
Phone Number: | 7603206988 |
Fax Number: | 7603209796 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A56013 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |