# WEST LOS ANGELES ANESTHESIA SERVICES LLC

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

## Provider details

- **NPI number:** 1205125739
- **Authorized official:** DR. RICHARD CORLIN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (310) 829-6789

## Contact information

- **Practice address:** 2336 SANTA MONICA BLVD, SUITE 204, SANTA MONICA, CA 90404-2095
- **Practice address phone:** (310) 829-6789
- **Practice address fax:** (310) 315-0204
- **Mailing address:** 1301 20TH ST STE 376, SANTA MONICA, CA 90404-2087
- **Mailing address phone:** (310) 829-6789
- **Mailing address fax:** (310) 315-0204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | — | NULL | Yes |
| 367H00000X | Anesthesiologist Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 05/22/2015