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Organization

INTERCOMMUNITY ANESTHESIOLOGY SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AIDAN P O'BRIEN M.D. (PRESIDENT)
(310) 792-3914
Entity
Organization

Contact information

Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GY070A
MCR PTAN
CA
Enumeration date
01/21/2013
Last updated
07/08/2013
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