Charlene Kantack Anderson
Physical Medicine & Rehabilitation Doctor
238 Dickenson Ave
Newbury Park
, California 91320-4326
Charlene Kantack Anderson
Physical Medicine & Rehabilitation Doctor
238 Dickenson Ave
Newbury Park
, California 91320-4326
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Charlene Kantack Anderson
- 238 Dickenson Ave
- Newbury Park, CA
- Zip : 91320-4326
- Phone :
Second Address
- Charlene Kantack Anderson
- 238 Dickenson Ave
- Newbury Park, CA
- Zip : 91320-4326
- Phone : (805) 551-5420
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT16045 | CA |
National Provider Identifier
| NPI | 1003344003 |
|---|---|
| Provider Name | Charlene Kantack Anderson |
| First Address | Newbury Park, CA 91320-4326 |
| Second Address | Newbury Park, CA 91320-4326 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2017 |
| Last Update Date | 02/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.