Organization
CONCIERGE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN LEA CRNA (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
3180 WILLOW LN STE 118, THOUSAND OAKS, CA 91361-4986
(805) 870-9482
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
12/13/2023
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