Organization
PEDIATRIC OFFICE ANESTHESIA SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT GILLIN MD (CO-OWNER)
(858) 254-0512
Entity
Organization
Contact information
Practice address
12625 HIGH BLUFF DR STE 301, SAN DIEGO, CA 92130-2054
(858) 254-0512
Mailing address
13990 MERCADO DR, DEL MAR, CA 92014-3124
(858) 254-0512
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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