Organization
SCQ ANESTHESIA A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY OU CRNA (OWNER)
(775) 747-5050
Entity
Organization
Contact information
Practice address
18840 VENTURA BLVD # 100A, TARZANA, CA 91356-3301
(818) 345-6126
(818) 345-5061
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
11/07/2022
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