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Organization
PREMIER ANESTHESIA OF CALIFORNIA, PC
Active
Organization
PREMIER ANESTHESIA OF CALIFORNIA, PC
Active
Other names
PREMIER ANESTHESIA OF CALIFORNIA, PC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY WALKER (VP FIANCE)
(678) 690-7812
Entity
Organization
Contact information
Practice address
6001 NORRIS CANYON RD, SAN RAMON, CA 94583-5400
(925) 275-9200
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5501
(404) 941-1304
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1604438
—
CA
Enumeration date
08/28/2006
Last updated
01/03/2024
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