Organization
OC ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JONAH RUBIN CRNA (CEO)
(828) 702-0459
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD, SUITE 100, NEWPORT BEACH, CA 92663-4241
(949) 933-7012
Mailing address
30520 RANCHO CALIFORNIA RD, #107-182, TEMECULA, CA 92591-3212
(800) 371-6368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
638205
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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