Organization
COAST NURSING ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURMAIL SINGH SIDHU CRNA (OWNER, PRESIDENT)
(775) 747-5050
Entity
Organization
Contact information
Practice address
860 OAK PARK BLVD, ARROYO GRANDE, CA 93420-1800
(805) 474-6383
(805) 474-6387
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 326-8298
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN536553
CA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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