Organization
MARTHA PECK ANESTHESIA NURSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA M PECK CRNA (PRESIDENT)
(310) 937-2780
Entity
Organization
Contact information
Practice address
850 S ATLANTIC BLVD, STE 201, MONTEREY PARK, CA 91754-4730
(310) 937-2780
(310) 937-2780
Mailing address
1109 STANFORD AVE, REDONDO BEACH, CA 90278-4039
(310) 937-2780
(310) 937-2780
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3222
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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