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Organization
ORANGE COAST ANESTHESIA INC
Active
Organization
ORANGE COAST ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYNNSON W TOM M.D. (PRESIDENT)
(626) 204-6747
Entity
Organization
Contact information
Practice address
2601 E CHAPMAN AVE, ORANGE, CA 92869-3206
(714) 633-0011
Mailing address
PO BOX 89 4940, LOS ANGELES, CA 90189-4940
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A101740
CA
Other
Enumeration date
01/27/2012
Last updated
12/02/2020
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