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Organization

LOMA LINDA ANESTHESIA SERVICES A MEDICAL CORPORATION

Active
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Organization

LOMA LINDA ANESTHESIA SERVICES A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(954) 939-7252
Entity
Organization

Contact information

Practice address
28062 BAXTER RD, MURRIETA, CA 92563-1401
(954) 838-2370
Mailing address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—

Other

Enumeration date
09/17/2020
Last updated
01/25/2021
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