Organization
AXIOM ANESTHESIA A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH BAMGBOSE CRNA (CEO)
(585) 732-4214
Entity
Organization
Contact information
Practice address
TLC SURGICAL CENTER 240 S LA CIENEGA BLVD, SUITE 210, BEVERLY HILLS, CA 90211-3324
(310) 882-5454
Mailing address
1158 26TH ST STE 131, SANTA MONICA, CA 90403-4621
(323) 289-2389
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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