# ANESTHESIA IAG SERVICES LTD

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

## Provider details

- **NPI number:** 1457776833
- **Authorized official:** MS. GAYLE LEE ULSHAFER CRNA (CEO)
- **Authorized official phone:** (760) 241-2179

## Contact information

- **Practice address:** 13332 CABANA WAY, VICTORVILLE, CA 92392-6364
- **Practice address phone:** (760) 241-2179
- **Practice address fax:** (760) 241-1950
- **Mailing address:** 13332 CABANA WAY, VICTORVILLE, CA 92392-6364
- **Mailing address phone:** (760) 241-2179
- **Mailing address fax:** (760) 241-1950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | CRNA 604 | CA | Yes |

## Other

- **Enumeration date:** 02/21/2014
- **Last updated:** 02/21/2014