Organization
ENDO ANESTHESIA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA HAWK (PRESIDENT)
(310) 829-6789
Entity
Organization
Contact information
Practice address
2336 SANTA MONICA BLVD, SUITE 204, SANTA MONICA, CA 90404-2095
(310) 453-4477
Mailing address
1301 20TH ST, SUITE 376, SANTA MONICA, CA 90404-2050
(310) 315-4360
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
CA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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