Organization
KHAZ ANESTHESIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR M KHAZAIELINAJAFABADI MD (PRESIDENT)
(916) 266-1661
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, SUITE 305, TARZANA, CA 91356-1351
(818) 578-5125
Mailing address
21241 VENTURA BLVD, SUITE 158, WOODLAND HILLS, CA 91364-2108
(818) 884-7724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85856
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A85856
CA
207LP3000X
Pediatric Anesthesiology Physician
A85856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A858560
—
CA
Enumeration date
05/07/2013
Last updated
05/08/2013
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