Organization
LOS ANGELES ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JEFFREY TAKASH MD (PRESIDENT)
(949) 588-2190
Entity
Organization
Contact information
Practice address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Mailing address
3420 BRISTOL ST STE 750, COSTA MESA, CA 92626-1996
(714) 432-1438
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G64633
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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