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Organization
PROGRESSIVE ANESTHESIA CONSULTANTS OF CALIFORNIA
Active
Organization
PROGRESSIVE ANESTHESIA CONSULTANTS OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY J HOLLENBECK MD (PRESIDENT)
(714) 347-1000
Entity
Organization
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
(916) 736-5499
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1000
(714) 795-6829
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/24/2019
Last updated
07/08/2024
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