Organization
ANESTHESIA MEDIFITNESS MEDICAL GROUP, INC.
Active
Organization
ANESTHESIA MEDIFITNESS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD M. SIEGEL M.D. (OWNER)
(310) 334-8734
Entity
Organization
Contact information
Practice address
14662 NEWPORT AVE, TUSTIN, CA 92780-6064
(310) 994-8734
Mailing address
11999 SAN VICENTE BLVD, #440, LOS ANGELES, CA 90049-5131
(310) 471-5852
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G57480
CA
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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