Organization
ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARE WAISMANN (MANAGER)
(310) 205-0808
Entity
Organization
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(310) 205-0808
Mailing address
250 N ROBERTSON BLVD, SUITE 419, BEVERLY HILLS, CA 90211-1788
(310) 205-0808
Taxonomy
Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
32166
CA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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