Individual provider · Type 1 NPI

Justin Bentley Anderson, PA-C

Surgical Physician Assistant · Newport Beach, CA

NPI number 1487924007 Active

Practice location

22 Corporate Plaza Dr
Newport Beach, CA 92660-7985

Fax (949) 630-4900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA21823 (CA)
Surgical Physician Assistant Primary 363AS0400XPA21823 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1487924007

Justin Bentley Anderson, PA-C's National Provider Identifier is 1487924007, issued on Jan 12, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newport Beach, CA. The record was last updated on Nov 29, 2021.