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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