Organization
AN ANESTHESIA AND PAIN MANAGEMENT MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUN ANAND M.D. (CHIEF EXECUTIVE OFFICER)
(925) 787-3697
Entity
Organization
Contact information
Practice address
1455 MONTEGO STE 104, WALNUT CREEK, CA 94598-2960
(707) 748-7248
(707) 745-9076
Mailing address
PO BOX 5668, WALNUT CREEK, CA 94596-1668
(707) 748-7248
(707) 745-9076
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A44609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090670
—
CA
01
—
ZZZ22322Z
MCARE PTAN
CA
Enumeration date
06/13/2016
Last updated
06/13/2016
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