# WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1336418862
- **Authorized official:** DR. RAMIN AKHAVAN MD (CEO)
- **Authorized official phone:** (804) 306-9494

## Contact information

- **Practice address:** 720 PAULARINO AVE, COSTA MESA, CA 92626-2940
- **Practice address phone:** (714) 641-4856
- **Mailing address:** PO BOX 3098, TORRANCE, CA 90510-3098
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | A100615 | CA | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 07/17/2012