Organization
AESTHETIC ANESTHESIA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARICK SMAILI,M.D. M.D. (OWNER)
(858) 759-7152
Entity
Organization
Contact information
Practice address
910 E BIRCH ST STE 350, BREA, CA 92821-5848
(858) 759-7152
(310) 861-0227
Mailing address
27068 LA PAZ RD # 190, ALISO VIEJO, CA 92656-3041
(858) 759-7152
(310) 861-0227
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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