Organization
CALIFORNIA ANESTHESIA SPECIALIST AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS MD (MD)
(833) 922-1080
Entity
Organization
Contact information
Practice address
28062 BAXTER RD, MURRIETA, CA 92563-1401
(833) 929-1080
Mailing address
7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113
(833) 922-1080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/14/2011
Last updated
10/01/2020
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