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Organization
VALLEY ANESTHESIA PHYSICIANS MEDICAL GROUP, INC
Active
Organization
VALLEY ANESTHESIA PHYSICIANS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER SELIVERSTOV M.D. (MANAGING PARTNER)
(949) 588-2190
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
5 HOLLAND, #101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/14/2021
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