Organization
GROUP ANESTHESIA SERVICES INC., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY KAMALI MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(408) 558-2100
(408) 559-2609
Mailing address
PO BOX 51441, LOS ANGELES, CA 90051-5741
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065140
—
CA
Enumeration date
05/05/2006
Last updated
12/29/2008
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