Kathleen M. Andersen, O.d., Inc.

NPI 1043439821 - Optometrist - 152W00000X

NPI Details
NPI 1043439821
Enumeration Date 04/24/2007
Last Updated 12/05/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KATHLEEN MARIE KATHLEEN
Position PRESIDENT
Phone (949) 589-6171
Fax (949) 589-0657
Practice Location
22312 EL PASEO STE D
RANCHO SANTA MARGARITA CA, 92688-5803, US
Phone (949) 589-6171
Fax (949) 589-0657
Business Location
22312 EL PASEO STE D
RANCHO SANTA MARGARITA CA, 92688-5803, US
Phone (949) 589-6171
Fax (949) 589-0657
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 8187T
Remove 1043439821 NPI Number
 

According to our database, Kathleen M. Andersen, O.d., Inc. NPI is 1043439821, taxonomy code is 152W00000X and license number is 8187T, license state is located at California. Kathleen M. Andersen, O.d., Inc. physically located at 22312 El Paseo Ste D, Rancho Santa Margarita CA, 92688-5803. NPI Number 1033115704 has the healthcare provider type.

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1043439821 NPI number is provided on an as is basis without warranty of any kind. 1043439821 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen M. Andersen, O.d., Inc. are for informational purposes only.