Organization
CBW ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE J BEREAL MD (PRESIDENT)
(310) 792-3914
Entity
Organization
Contact information
Practice address
4060 WHITTIER BLVD, LOS ANGELES, CA 90023-2526
(323) 268-5514
(310) 512-6126
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A110292
CA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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