Provider Demographics
NPI:1710218318
Name:LANDER, ANASTASIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ANASTASIA
Middle Name:
Last Name:LANDER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANASTASIA
Other - Middle Name:
Other - Last Name:ORENGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1203 W IMPERIAL HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3741
Mailing Address - Country:US
Mailing Address - Phone:714-626-0074
Mailing Address - Fax:714-626-0079
Practice Address - Street 1:1203 W IMPERIAL HWY
Practice Address - Street 2:STE 100
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3741
Practice Address - Country:US
Practice Address - Phone:714-526-9355
Practice Address - Fax:714-526-9350
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor