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Organization
SAN DIEGUITO ANESTHESIOLOGY MEDICAL GROUP, INC.
Active
Organization
SAN DIEGUITO ANESTHESIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R MIZUTANI M.D. (PRESIDENT)
(714) 347-1000
Entity
Organization
Contact information
Practice address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
FNP35932
CA
Other
Enumeration date
08/23/2006
Last updated
06/27/2015
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