Organization
WESTERN ANESTHESIA AND CRITICAL CARE MEDICINE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN AKHAVAN MD (CEO)
(804) 306-9494
Entity
Organization
Contact information
Practice address
720 PAULARINO AVE, COSTA MESA, CA 92626-2940
(714) 641-4856
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A100615
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/29/2011
Last updated
07/17/2012
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