# AMBULATORY ANESTHESIA SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ambulatory Anesthesia Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548363740
- **Authorized official:** DR. ANDREW KIM MD (PRESIDENT/OWNER)
- **Authorized official phone:** (703) 863-8767

## Contact information

- **Practice address:** 10730 MAIN STREET, FAIRFOX, VA 22030
- **Practice address phone:** (301) 317-0020
- **Practice address fax:** (301) 317-0028
- **Mailing address:** 10449 WHITE GRANITE DR UNIT 129, OAKTON, VA 22124-8005
- **Mailing address phone:** (703) 863-8767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | VA | Yes |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 06/17/2024
