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Organization

R-S ANESTHESIA MEDICAL GROUP, INC.

Active
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Organization

R-S ANESTHESIA MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY A. REICHELDERFER M.D. (PRESIDENT)
(818) 344-2545
Entity
Organization

Contact information

Practice address
1301 20TH ST, SANTA MONICA, CA 90404-2050
(310) 315-0222
(310) 828-8852
Mailing address
PO BOX 572426, TARZANA, CA 91357-2426
(818) 344-2545
(818) 757-3051

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A26005
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A26005
STATE LICENSE NUMBER
CA
Enumeration date
11/09/2006
Last updated
11/25/2008
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