Organization
NAPA VALLEY ANESTHESIA OF THE CROWNS A PROF MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHATHEP S SRIKUREJA DO (PRESIDENT)
(959) 588-2190
Entity
Organization
Contact information
Practice address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A7504
CA
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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