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Organization
VAPRNET ANESTHESIOLOGY NETWORK
Active
Organization
VAPRNET ANESTHESIOLOGY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KENNETH DELLORUSSO M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1720 TERMINO AVE, ANESTHESIOLOGY DEPARTMENT, LONG BEACH, CA 90804-2104
(562) 498-1000
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
FNP34281
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102010
—
CA
Enumeration date
05/13/2006
Last updated
11/17/2009
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