Basic Information
| Provider Information | |||||||||
| NPI: | 1629241328 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANDERSON-BERMAN | ||||||||
| FirstName: | NANCY | ||||||||
| MiddleName: | HOVEY | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | ANDERSON | ||||||||
| OtherFirstName: | NANCY | ||||||||
| OtherMiddleName: | HOVEY | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 5901 E 7TH ST | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908225201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5628265261 | ||||||||
| FaxNumber: | 5628265179 | ||||||||
| Practice Location | |||||||||
| Address1: | 7837 E WALNUT RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928696517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7146338310 | ||||||||
| FaxNumber: | 5628265179 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2008 | ||||||||
| LastUpdateDate: | 04/02/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | G50764 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | G50764 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.