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Organization
WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION
Active
Organization
WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN AKHAVAN MD (CEO)
(804) 306-9494
Entity
Organization
Contact information
Practice address
720 PAULARINO AVE, COSTA MESA, CA 92626-2940
(714) 641-4856
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A100615
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
NULL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
07/17/2012
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