Organization
SONORAN ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA BUSH CRNA (PRESIDENT)
(928) 600-1619
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD STE 100, NEWPORT BEACH, CA 92663-4254
(928) 600-1619
Mailing address
370 E 15TH ST, COSTA MESA, CA 92627-3761
(928) 600-1619
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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