Organization
DESCANSO ANESTHESIA GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PARKS MD (CEO)
(626) 354-4610
Entity
Organization
Contact information
Practice address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 790-7100
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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