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Organization
PACIFIC COAST ANESTHESIA LLC
Active
Organization
PACIFIC COAST ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED STANLEY CRNA (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
4790 IRVINE BLVD STE 105-355, IRVINE, CA 92620-1973
(949) 588-2190
(949) 588-2199
Mailing address
4790 IRVINE BLVD STE 105-355, IRVINE, CA 92620-1973
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA27940
PROCESSING
CA
Enumeration date
01/23/2009
Last updated
01/23/2009
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