Organization
ALTA VISTA BILLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL REID CRNA (OWNER)
(949) 588-2190
Entity
Organization
Contact information
Practice address
1003 E BRIER DR STE 170, SAN BERNARDINO, CA 92408-2862
(909) 370-2190
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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