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Buena Vista Anesthesia Medical Group

Anesthesiology in Burbank, CA. Organization (NPI-2).

NPI number1366462293
StatusActive
Last updated in NPPESAug 5, 2013

Details

NPI
1366462293
Entity type
Organization (NPI-2)
Legal business name
Buena Vista Anesthesia Medical Group
Organization subpart
No
Enumeration date
Jul 21, 2006
Last updated
Aug 5, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes
207LP2900X Anesthesiology, Pain Medicine––
208VP0014X Pain Medicine, Interventional Pain Medicine––

Practice location

501 S Buena Vista St
Burbank, CA 91505-4809

Phone 818-843-5111 · Fax 818-847-3935

Mailing address

Po Box 60790
Pasadena, CA 91116-6790

Phone 626-696-1132 · Fax 626-396-0851

Authorized official

Paul Englund
General Partnership
6266961124

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