Organization
JS ANESTHESIA AND PAIN MANGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JED SHAY M.D. (PRESIDENT)
(858) 717-7111
Entity
Organization
Contact information
Practice address
555 S 7TH AVE, BARSTOW, CA 92311-3043
(760) 256-1761
Mailing address
PO BOX 126595, SAN DIEGO, CA 92112-6595
(858) 717-7111
(760) 269-3103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C51490
CA
Other
Enumeration date
12/14/2007
Last updated
01/29/2008
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