Organization
COMMUNITY ANES PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS HUANES MD (GROUP PRESIDENT)
(209) 956-7725
Entity
Organization
Contact information
Practice address
7055 N FRESNO STREET, FRESNO, CA 93720
(559) 449-9977
Mailing address
PO BOX 45123, SAN FRANCISCO, CA 94145
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088281
—
CA
01
—
ZZZ05375Z
BLUE SHIELD OF CA
CA
Enumeration date
05/18/2006
Last updated
08/22/2020
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