Individual
JEFFREY JAMES ALTIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501-4135
(805) 300-1994
Mailing address
117 WHITWORTH ST, THOUSAND OAKS, CA 91360-1824
(805) 300-1994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95030642
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
138459
CA
Other
Enumeration date
05/14/2021
Last updated
09/08/2021
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