Organization
CARMEL HEALTHCARE ANESTHESIA MEDICAL PROVIDERS INC
Active
Organization
CARMEL HEALTHCARE ANESTHESIA MEDICAL PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J KELLY MD (GROUP PRESIDENT)
(831) 333-4000
Entity
Organization
Contact information
Practice address
2 UPPER RAGSDALE DR, BLDG B, STE B160, MONTEREY, CA 93940-5736
(831) 333-4000
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0105420
—
CA
01
—
ZZZ627402
BLUE SHIELD OF CA
CA
01
—
ZZZ62741Z
BLUE SHIELD OF CA
CA
01
—
ZZZ62742Z
BLUE SHIELD OF CA
CA
Enumeration date
08/09/2007
Last updated
12/05/2007
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