Individual
EMANUEL SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(833) 574-2273
Mailing address
3121 IROQUOIS AVE, LONG BEACH, CA 90808-4039
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001641
CA
Other
Enumeration date
12/16/2021
Last updated
08/15/2022
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