Organization
VALLEY ANESTHESIA AND ANCILLARY SERVICES, INC.,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA MAFFEI (BILLING MANAGER)
(818) 501-2001
Entity
Organization
Contact information
Practice address
5435 BALBOA BLVD STE 101, ENCINO, CA 91316-1686
(818) 990-2383
(818) 322-3100
Mailing address
5435 BALBOA BLVD STE 101, ENCINO, CA 91316-1686
(818) 990-2383
(818) 322-3100
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120
ANESTHESIA AND ANCILLARY
CA
01
—
C4225772
ANESTHESIA AND ANCILLARY
CA
Enumeration date
03/06/2019
Last updated
03/06/2019
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