Anderson, Anastasia Marie

Anderson, Anastasia Marie is an individual health care provider with primary practice located at 2888 Long Beach Blvd Suite 240, Long Beach CA 90806-1530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Anderson, Anastasia Marie can be contacted via phone (562) 595-7696.

Contact Information

Primary practice address
2888 Long Beach Blvd Suite 240 Long Beach CA 90806-1530
Phone: (562) 595-7696
Fax: (562) 490-3846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA17941 California

Profile Details

NPI number 1275574709
LBN Legal business name Anderson, Anastasia Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Apr 19th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275574709 NPPES
California Other W19727 GROUP ID
California MEDICAID 00G99710 GROUP ID

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