Organization
GO DEEP ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH OAKES CRNA (PRESIDENT)
(805) 512-1456
Entity
Organization
Contact information
Practice address
333 S MOORPARK RD STE 339, THOUSAND OAKS, CA 91361-1008
(805) 497-3690
(805) 371-4781
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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