Organization
AXIOM ANESTHESIA GROUP INC
Active
Organization
AXIOM ANESTHESIA GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE COX MD (AUTHORIZED REPRESENTATIVE)
(323) 717-9436
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057
(213) 484-5541
Mailing address
PO BOX 8312, PASADENA, CA 91109-8312
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/01/2018
Last updated
06/19/2018
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