KATHLEEN M ANDERSEN OD

Dr KATHLEEN M ANDERSEN OD is a female medical professional, specializing in Optometry. She graduated in 1985 from Southern California College Of Optometry.

Contact

22312 EL PASEO D
RANCHO SANTA MARGARITA
CA
926885803

Tel:

KATHLEEN M ANDERSEN OD Information

Npi 1881747962
Pac Id 8921104340
Professional Enrollment Id I20070501000710
Last Name ANDERSEN
First Name KATHLEEN
Middle Name M
Suffix
Gender F
Credential OD
Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 1985
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 22312 EL PASEO D
Line 2 Street Address
Marker Of Address Line 2 Suppression
City RANCHO SANTA MARGARITA
State CA
Zip Code 926885803
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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