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Specialty details in registry · Anderson, CA

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At a glance

1930 Barney Rd, Anderson, CA 96007-4337

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Practice location

1930 Barney Rd
Anderson, CA 96007-4337
Professional details: NPI, taxonomy & registry record
NPI1760603849
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
247100000X
Enumeration date
May 2, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

247100000X · Primary

License reported: 22913 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1930 Barney Rd
Anderson, CA 96007-4337
Phone
(530) 365-9990
Fax
(530) 365-4871
Mailing address
1930 BARNEY RD

ANDERSON, CA 960074337
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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