Organization
CRNALA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL DIAZ CRNA (CEO/PRESIDENT)
(626) 347-3410
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE STE 126, GLENDALE, CA 91204-2571
(818) 247-4894
Mailing address
609 S GRAND AVE APT 906, LOS ANGELES, CA 90017-3847
(626) 347-3410
(866) 640-3006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA 3307
CA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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