Advanced Specialty Anesthesia & Pain Management, A Medical Corporation
Anesthesiology, Pain Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1497076780
StatusActive
Last updated in NPPESAug 7, 2012
Details
- NPI
- 1497076780
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Specialty Anesthesia & Pain Management, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jun 21, 2010
- Last updated
- Aug 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | G75155 | CA | Yes |
Practice location
219 W 7th St207
Los Angeles, CA 90014-1950
Phone 310-310-5817 · Fax 310-496-0183
Mailing address
219 W 7th St207
Los Angeles, CA 90014-1950
Phone 310-310-5817 · Fax 310-496-0183
Authorized official
Daniel Shin
President
3103105817
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