Andersen, Kathleen Marie

Andersen, Kathleen Marie is an sole proprietor health care provider with primary practice located at 22312 El Paseo Suite D, Rancho Santa Margarita CA 92688-5806. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Andersen, Kathleen Marie can be contacted via phone (949) 589-6171.

Contact Information

Primary practice address
22312 El Paseo Suite D Rancho Santa Margarita CA 92688-5806
Phone: (949) 589-6171
Fax: (949) 589-0657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8187T California

Profile Details

NPI number 1881747962
LBN Legal business name Andersen, Kathleen Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Dec 5th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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