JEFFREY ANDERSEN
NPI 1164071650
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since September 06, 2019
270 W 14TH ST # 27, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Andersen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY ANDERSEN (NPI 1164071650) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (92845) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1164071650
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEFFREY ANDERSEN
Location Address270 W 14TH ST # 27San Pedro, CA 90731-4396
Mailing Address270 W 14th St # 270San Pedro, CA 90731-4396 · (310) 519-8723
Sole ProprietorNo
Enumeration DateSeptember 6, 2019
NPI 1164071650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 92845
270 W 14TH ST # 27, San Pedro, CA 90731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Andersen's NPI number?

The NPI number for Jeffrey Andersen is 1164071650. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Jeffrey Andersen located?

Jeffrey Andersen practices at 270 W 14th St # 27, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Jeffrey Andersen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeffrey Andersen was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.