Organization
INDEPENDENT ANESTHESIA CONSULTANTS OF RIVERSIDE A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
31700 TEMECULA PKWY, TEMECULA, CA 92592-5896
(469) 401-2386
Mailing address
13737 NOEL RD, DALLAS, TX 75240-1331
(954) 838-2371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
08/01/2017
Last updated
09/16/2019
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