Organization
CHILDRENS ANESTHESIA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY HINTON (ADMINISTRATOR)
(888) 854-3822
Entity
Organization
Contact information
Practice address
747 52ND ST, DEPARTMENT OF ANESTHESIOLOGY, OAKLAND, CA 94609-1809
(510) 428-3070
(510) 450-5853
Mailing address
PO BOX 45731, SAN FRANCISCO, CA 94145-0731
(888) 854-3822
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0026490
—
CA
Enumeration date
04/13/2006
Last updated
11/19/2010
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