Organization
OASIS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYLAN REYNOLDS CRNA, DNAP (CRNA)
(202) 251-6521
Entity
Organization
Contact information
Practice address
130 COPA DE ORO DR, BREA, CA 92823-7013
(202) 251-6521
Mailing address
130 COPA DE ORO DR, BREA, CA 92823-7013
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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