Organization
BUENA VISTA ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ENGLUND M.D. (GENERAL PARTNERSHIP)
(626) 696-1124
Entity
Organization
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 843-5111
(818) 847-3935
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 696-1132
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084040
—
CA
01
—
ZZZ57658Z
BLUE SHIELD
CA
Enumeration date
07/21/2006
Last updated
08/05/2013
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