Organization
SOUTH COAST ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KENNETH KANE CRNA (PRESIDENT)
(760) 297-1284
Entity
Organization
Contact information
Practice address
29724 PLATANUS DR, ESCONDIDO, CA 92026-5936
(760) 297-1284
(760) 297-1279
Mailing address
29724 PLATANUS DR, ESCONDIDO, CA 92026-5936
(760) 297-1284
(760) 297-1279
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RN2955780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN2955780
—
CA
Enumeration date
08/25/2006
Last updated
03/04/2010
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