Organization
COAST TO COAST ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANNE MIDDLETON CRNA (OWNER)
(706) 402-5480
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4241
(706) 402-5480
Mailing address
23301 RIDGE ROUTE DR SPC 115, LAGUNA HILLS, CA 92653-1722
(706) 402-5480
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000701
CA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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