Lesline Rena Anderson in Lawndale - Physician Assistant

Lesline Rena Anderson - NPI 1639337421

Lesline Rena Anderson is a Physician Assistant in Lawndale, California. Lesline Rena Anderson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lesline Rena Anderson is 1639337421. The last update date is 2008-05-28.

Lesline Rena Anderson's current location address is 14718 Hawthorne Blvd, Lawndale, California. You can contact this provider via phone number 3106765673 and fax number 3106795673. The mailing address for Lesline Rena Anderson is 14718 Hawthorne Blvd, Lawndale, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Lesline Rena Anderson
Address 14718 Hawthorne Blvd, Lawndale, California
Phone Number 3106765673
Fax Number 3106795673
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1639337421
Provider Enumeration Date 2008-05-28
Last Updated Date 2008-05-28

Provider Mailing Address Detail

Address 14718 Hawthorne Blvd
City Lawndale
State California (CA)
Post Code 902601523
Phone Number 3106765673
Fax Number 3106795673

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA 1175
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PA 1175 CA GENERAL

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FAQs about Lesline Rena Anderson

What is the unique identification code assigned to Lesline Rena Anderson by the Centers for Medicare & Medicaid Services?

The Lesline Rena Anderson has been issued the NPI (National Provider Identifier) 1639337421. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lesline Rena Anderson is geographically located?

The Lesline Rena Anderson is physically situated at the following location: 14718 Hawthorne Blvd, Lawndale, CA, 902601523.

What is Lesline Rena Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lesline Rena Anderson's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did Lesline Rena Anderson receive its 1639337421 assignment from the Centers for Medicare & Medicaid Services?

The Lesline Rena Anderson was assigned its 1639337421 on 2008-05-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Lesline Rena Anderson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Lesline Rena Anderson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-28.

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