Organization
ANESTHESIA SERVICE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA MARZAN M.D. (PRESIDENT)
(858) 565-9666
Entity
Organization
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207LP3000X
Pediatric Anesthesiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ38991Z
BS CA
CA
05
—
ZZZ38991Z
—
CA
Enumeration date
06/14/2006
Last updated
10/09/2025
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