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Organization

SONORAN ANESTHESIA, LLC

Active
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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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