# PACIFIC ANESTHESIA GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912223819
- **Authorized official:** DR. JONATHAN FARSHAD KOHAN M.D. (OWNER / PRESIDENT)
- **Authorized official phone:** (818) 788-2400

## Contact information

- **Practice address:** 16260 VENTURA BLVD, STE 800, ENCINO, CA 91436-2203
- **Practice address phone:** (818) 788-2400
- **Mailing address:** PO BOX 241295, LOS ANGELES, CA 90024-1295
- **Mailing address phone:** (818) 788-2400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2010
- **Last updated:** 04/16/2010
