1952630006 NPI number — MISS JOYCE E. ANDERSON R.N.F.A.

Table of content: MISS JOYCE E. ANDERSON R.N.F.A. (NPI 1952630006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952630006 NPI number — MISS JOYCE E. ANDERSON R.N.F.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ANDERSON
Provider First Name:
JOYCE
Provider Middle Name:
E.
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
R.N.F.A.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952630006
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1445
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRESTLINE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92325-1445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-380-5253
Provider Business Mailing Address Fax Number:
909-589-0273

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 CORPORATE PLAZA DR
Provider Second Line Business Practice Location Address:
SUITE 150
Provider Business Practice Location Address City Name:
NEWPORT BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92660-7985
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-515-0708
Provider Business Practice Location Address Fax Number:
949-515-4497
Provider Enumeration Date:
12/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WR0006X , with the licence number:  444573 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1689864365 . This is a "HOAG HOSPITAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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