Impact Anesthesia Associates
Nurse Anesthetist, Certified Registered in Oceanside, CA. Organization (NPI-2).
NPI number1043676331
StatusActive
Last updated in NPPESJan 3, 2016
Details
- NPI
- 1043676331
- Entity type
- Organization (NPI-2)
- Legal business name
- Impact Anesthesia Associates
- Organization subpart
- No
- Enumeration date
- Jan 3, 2016
- Last updated
- Jan 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
1660 Seattle Slew WayOceanside, CA 92057-5621
Phone 619-788-4408
Mailing address
1660 Seattle Slew WayOceanside, CA 92057-5621
Phone 619-788-4408
Authorized official
Shane Garst
Ceo
6197884408
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