Organization
SEASIDE NURSING ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ROINESTAD HARBIN CRNA (OWNER)
(858) 337-3179
Entity
Organization
Contact information
Practice address
935 GENTER ST, UNIT 404, LA JOLLA, CA 92037-5530
(858) 337-3179
Mailing address
935 GENTER ST, UNIT 404, LA JOLLA, CA 92037-5530
(858) 337-3179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4125
CA
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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