Organization
VASA ANESTHESIA PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIEGO ROMAN CAVENAGHI (PRESIDENT)
(951) 556-2138
Entity
Organization
Contact information
Practice address
11760 CENTRAL AVE, CHINO, CA 91710-1900
(951) 556-1818
Mailing address
3410 LA SIERRA AVE STE F510, RIVERSIDE, CA 92503-5270
(951) 556-2138
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
12/23/2025
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