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Organization
PG ANESTHESIA LLC
Active
Organization
PG ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OM CHAURASIA MD (MANAGING MEMBER)
(949) 365-8836
Entity
Organization
Contact information
Practice address
26421 CROWN VALLEY PKWY STE 140B, MISSION VIEJO, CA 92691-8596
(949) 365-8836
(949) 365-8837
Mailing address
26421 CROWN VALLEY PKWY STE 140B, MISSION VIEJO, CA 92691-8596
(949) 365-8836
(949) 365-8837
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
01/18/2023
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