Organization
PGA ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ANAMOS CRNA (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST STE 202, VAN NUYS, CA 91405-3645
(818) 781-2020
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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