# SOUTHERN CALIFORNIA ANESTHESIA & PAIN MANAGEMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114216892
- **Authorized official:** ANA CAMPBELL (ADMINISTRATOR)
- **Authorized official phone:** (805) 557-1113

## Contact information

- **Practice address:** 425 HAALAND DR, SUITE\#101, THOUSAND OAKS, CA 91361-5229
- **Practice address phone:** (805) 557-1113
- **Mailing address:** 425 HAALAND DR, SUITE\#101, THOUSAND OAKS, CA 91361-5229
- **Mailing address phone:** (805) 557-1113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A85646 | CA | Yes |
| 2084N0400X | Neurology Physician | A85646 | CA | — |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011