Organization
ANESTHESIA MEDICAL GRP OF SO CA, INC.
Active
Organization
ANESTHESIA MEDICAL GRP OF SO CA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BEUTTLER MD (INCORPORATOR)
(209) 473-6555
Entity
Organization
Contact information
Practice address
227 W JANSS RD, SUITE #240, THOUSAND OAKS, CA 91360-1848
(805) 371-0455
Mailing address
2590 E MAIN ST, SUITE # 201, VENTURA, CA 93003-2619
(805) 643-3030
(805) 643-3036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
CA
Enumeration date
02/18/2013
Last updated
03/04/2013
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