Organization
MASON ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB EDWARD MASON CRNA (OWNER)
(626) 340-3354
Entity
Organization
Contact information
Practice address
3638 E OCEAN BLVD APT 1, LONG BEACH, CA 90803-2753
(626) 340-3354
(626) 340-3354
Mailing address
3638 E OCEAN BLVD APT 1, LONG BEACH, CA 90803-2753
(626) 340-3354
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000611
CA
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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