Organization
ACE ANESTHESIA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITABH MOHAN MATHUR MD (PRESIDENT)
(408) 921-9615
Entity
Organization
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 637-5711
Mailing address
2635 G ST, BAKERSFIELD, CA 93301-2813
(661) 633-1500
(661) 633-2700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A067559
CA
Other
Enumeration date
06/28/2011
Last updated
09/13/2011
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