Organization
ALLISON STAVARIDIS CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON STAVARIDIS CRNA (CRNA)
(310) 367-7863
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD, STE 201, MONTEREY PARK, CA 91754-4730
(626) 289-2894
(626) 289-2840
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3574
CA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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