Individual provider · Type 1 NPI

Brian Mark Anderson

Medical Specialty Clinic/Center · La Jolla, CA

NPI number 1386225803 Active

Practice location

3855 Health Sciences Dr
La Jolla, CA 92093-1503

Mailing address

1755 Wyndale St Apt 333
Houston, TX 77030-4167

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1386225803

Brian Mark Anderson's National Provider Identifier is 1386225803, issued on Apr 16, 2021. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in La Jolla, CA. The record was last updated on Apr 16, 2021.