Organization
SOUTHERN CALIFORNIA ANESTHESIA & PAIN MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA CAMPBELL (ADMINISTRATOR)
(805) 557-1113
Entity
Organization
Contact information
Practice address
425 HAALAND DR, SUITE#101, THOUSAND OAKS, CA 91361-5229
(805) 557-1113
Mailing address
425 HAALAND DR, SUITE#101, THOUSAND OAKS, CA 91361-5229
(805) 557-1113
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A85646
CA
2084N0400X
Neurology Physician
A85646
CA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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