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Organization
SOUTH BAY ANESTHESIA MEDICAL GROUP INC.
Active
Organization
SOUTH BAY ANESTHESIA MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY KOH M.D. (PRESIDENT)
(310) 540-7676
Entity
Organization
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 540-7676
(310) 540-1485
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(714) 619-5387
(707) 701-6662
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076760
—
CA
01
—
ZZZ53133Z
BLUE SHIELD
CA
Enumeration date
07/18/2006
Last updated
11/07/2024
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