Organization
VALLEY ANESTHESIA AND ANCILLARY SERVICES, INC.,
Active
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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