Individual provider · NPI-1

Charles Kent Anderson, MD

Anesthesiology · Loma Linda, CA

NPI number1699716282
StatusActive
Last updated in NPPESNov 17, 2025

Details

NPI
1699716282
Entity type
Individual (NPI-1)
Name
Charles Kent Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2006
Certification date
Nov 17, 2025
Last updated
Nov 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyG128352CAYes
207L00000X AnesthesiologyMD60854517WA
207L00000X AnesthesiologyMD14731OR

Practice location

11234 Anderson St Rm 2532
Loma Linda, CA 92354-2804

Phone 909-558-4475 · Fax 909-558-4143

Mailing address

11234 Anderson St Rm 2532
Loma Linda, CA 92354-2804

Phone 909-558-4475 · Fax 909-558-4143

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