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Organization
SOUTHERN CALIFORNIA ANESTHESIA PROVIDERS SCAP
Active
Organization
SOUTHERN CALIFORNIA ANESTHESIA PROVIDERS SCAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI NASSIRI D.O. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1809 VERDUGO BLVD STE 140, GLENDALE, CA 91208-1402
(818) 790-7874
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A9369
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
20A9369
CA
Other
Enumeration date
08/27/2008
Last updated
11/12/2019
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