Organization
ANESMD CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD P ENRIQUEZ MD (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
25495 MEDICAL CENTER DR, STE 101, MURRIETA, CA 92562-4902
(951) 200-7777
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G87219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G87219
STATE LICENSE
CA
Enumeration date
06/20/2012
Last updated
06/20/2012
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