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Organization
PACIFIC ANESTHESIA MEDICAL ASSOCIATES INC.
Active
Organization
PACIFIC ANESTHESIA MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSRAT KHAJAVI (PRESIDENT/ SOLE OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A6223
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A6223
CA
Other
Enumeration date
02/07/2008
Last updated
07/23/2008
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