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Organization
PACIFIC ANESTHESIA MEDICAL
Active
Organization
PACIFIC ANESTHESIA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSRAT KHAJAVI DO (OWNER/PHYSICIAN)
(702) 885-7777
Entity
Organization
Contact information
Practice address
1415 ROSS AVE, EL CENTRO, CA 92243-4306
(765) 284-0493
Mailing address
PO BOX 568, MUNCIE, IN 47308-0568
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
03/30/2017
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