Organization
ELLISON CONCEPCION NURSING ANESTHESIOLOGY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLISON PUA CONCEPCION CRNA (PRESIDENT)
(818) 497-2965
Entity
Organization
Contact information
Practice address
430 E AVENIDA DE LOS ARBOLES STE 101, THOUSAND OAKS, CA 91360-3017
(805) 241-0151
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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