Organization
NURSING ANESTHESIA ASSOCIATES OF LOS ANGELES, INC.
Active
Organization
NURSING ANESTHESIA ASSOCIATES OF LOS ANGELES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M APPLEGATE CRNA (CEO)
(213) 408-9746
Entity
Organization
Contact information
Practice address
8440 FOUNTAIN AVE APT 302, WEST HOLLYWOOD, CA 90069-2567
(213) 408-9746
Mailing address
8440 FOUNTAIN AVE APT 302, WEST HOLLYWOOD, CA 90069-2567
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
832156
CA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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