Organization
INTREPID ANESTHESIA ASSOCIATES CORPORATION
Active
Organization
INTREPID ANESTHESIA ASSOCIATES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HESTRIN M.D. (PRESIDENT)
(310) 903-1980
Entity
Organization
Contact information
Practice address
427 W. PUEBLO ST., SANTA BARBARA, CA 91306
(310) 903-1980
(818) 880-9570
Mailing address
PO BOX 261070, ENCINO, CA 91426-1070
(310) 903-1980
(818) 880-9570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G062996
CA
Other
Enumeration date
04/15/2010
Last updated
07/29/2011
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