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CONSULTANTS FOR ANESTHESIA & MANAGEMENT OF PAIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY S KEARL M.D. (MANAGING PARTNER)
(818) 952-2938
Entity
Organization

Contact information

Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
(818) 546-5632
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0092290
CA
01
ZZZ05363Z
BLUE SHIELD
CA
Enumeration date
07/25/2006
Last updated
06/29/2010
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