Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A125400 | CA |
N | 111NI0900X | Internist | A125400 | CA |
Y | 207RG0100X | Gastroenterologist | A125400 | CA |
NPI | 1013294768 |
---|---|
Provider Name | Dr. Joshua Mckee Anderson |
First Address | West Hollywood, CA 90048-1804 |
Second Address | Modesto, CA 95356-9718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2011 |
Last Update Date | 22/12/2021 |