Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization
CEP AMERICA - ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 851-7411
Entity
Organization
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1425
(408) 259-5000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
04/07/2020
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