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Organization
MONTEREY PENINSULA ANESTHESIA MEDICAL GROUP, INC.
Active
Organization
MONTEREY PENINSULA ANESTHESIA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEINRICH BRINKS MD (GROUP PRESIDENT)
(831) 624-5311
Entity
Organization
Contact information
Practice address
23625 HOLMAN HWY, MONTEREY, CA 93940-5902
(831) 624-5311
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067150
—
CA
01
—
ZZZ47279Z
BLUE SHIELD
CA
Enumeration date
07/29/2006
Last updated
10/11/2007
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