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Organization
LOMPOC VALLEY ANESTHESIA ASSOCIATES
Active
Organization
LOMPOC VALLEY ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC KWON M.D. (CHIEF FINACIAL OFFICER)
(805) 588-5845
Entity
Organization
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 588-5845
Mailing address
136 N 3RD ST, LOMPOC, CA 93436-7002
(805) 736-3164
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
770377953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058550
—
CA
Enumeration date
01/25/2007
Last updated
03/21/2024
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