Organization
PREMIER NURSING ANESTHESIA INC
Active
Organization
PREMIER NURSING ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER E KOETTEL CRNA (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD STE 201, MONTEREY PARK, CA 91754-6705
(626) 872-0264
(626) 289-2840
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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