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Organization
PENTHOUSE ANESTHESIA CORP
Active
Organization
PENTHOUSE ANESTHESIA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DIAZ MD (PRESIDENT)
(424) 278-2214
Entity
Organization
Contact information
Practice address
465 N ROXBURY DR PH STE, BEVERLY HILLS, CA 90210-4239
(424) 278-2214
Mailing address
465 N ROXBURY DR PH STE, BEVERLY HILLS, CA 90210-4239
(424) 278-2214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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