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Organization
RANCHO MIRAGE ANESTHESIA CONSULTANTS MEDICAL GROUP INC
Active
Organization
RANCHO MIRAGE ANESTHESIA CONSULTANTS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL HOWARD NELSON M.D. (PRESIDENT)
(626) 795-6596
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1497
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028410
—
CA
01
—
ZZZ16551Z
BLUE SHIELD
CA
Enumeration date
07/16/2006
Last updated
11/10/2009
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