Organization
ANESTHESIA DOCTORS OF CALIFORNIA INC
Active
Organization
ANESTHESIA DOCTORS OF CALIFORNIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W. SIMON-BAKER M.D. (OWNER)
(617) 818-5260
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A96785
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A96785
CA
Other
Enumeration date
05/15/2007
Last updated
12/08/2009
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