Organization
ARROWHEAD ANESTHESIA ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALAN ENGWALL MD (PRESIDENT)
(909) 580-2440
Entity
Organization
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-2440
(909) 580-2441
Mailing address
PO BOX 7, COLTON, CA 92324-0007
(909) 783-9111
(909) 783-9112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK7277
RAILROAD MEDICARE
—
05
—
GR0092530
—
CA
01
—
ZZZ05898Z
BLUE SHIELD
—
Enumeration date
12/27/2005
Last updated
08/22/2020
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