Organization
SALVUS ANESTHESIA SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN BENGT JACOBSSON CRNA (NURSE ANESTHETIST)
(661) 877-3208
Entity
Organization
Contact information
Practice address
26792 MADIGAN DR, CANYON COUNTRY, CA 91351-4809
(661) 877-3208
Mailing address
26792 MADIGAN DR, CANYON COUNTRY, CA 91351-4809
(661) 877-3208
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
RN 509823
CA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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