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Organization

USC TEMECULA ANESTHESIA ASSOCIATES LP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
31469 RANCHO PUEBLO RD, SUITE 100, TEMECULA, CA 92592-4834
(951) 303-6890
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 240-3809
(615) 234-1809

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
01/26/2017
Last updated
01/26/2017
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