Provident Anesthesia Medical Group

NPI 1063554798 - Anesthesiology - 207L00000X

NPI Details
NPI 1063554798
Enumeration Date 02/12/2007
Last Updated 02/24/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name A JOSEPH A JOSEPH
Position PRESIDENT
Phone (818) 550-0900
Fax (505) 293-1524
Practice Location
7300 MEDICAL CTR
WEST HILLS CA, 91307-1902, US
Phone (818) 550-0900
Fax (505) 293-1524
Business Location
PO BOX 5486
ORANGE CA, 92863-5486, US
Phone (818) 550-0900
Fax (505) 293-1524
Toxanomy
Taxonomy Code 207L00000X
License State California
License Number G46241
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According to our database, Provident Anesthesia Medical Group NPI is 1063554798, taxonomy code is 207L00000X and license number is G46241, license state is located at California. Provident Anesthesia Medical Group physically located at 7300 Medical Ctr, West Hills CA, 91307-1902. NPI Number 1033115704 has the healthcare provider type.

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1063554798 NPI number is provided on an as is basis without warranty of any kind. 1063554798 is maintained by the National Plan & Provider Enumeration System. The contents of Provident Anesthesia Medical Group are for informational purposes only.