Organization
BLUE WAVE ANESTHESIA GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM S REIS D.O. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
3350 W BALL RD, ANAHEIM, CA 92804-3710
(714) 827-6700
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A7595
CA
Other
Enumeration date
01/15/2010
Last updated
06/30/2010
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