MEDICARE: MICHAEL P CHURCHIN CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	NA2089	CA

General Provider Information

NPI Number	:	1437350329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL P CHURCHIN CRNA

Provider Business Mailing Address
First Line	:	441 N LAKEVIEW AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-3028
Country	:	US
Telephone Number	:	888-988-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 N LAKEVIEW AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-3028
Country	:	US
Telephone Number	:	888-988-2800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	01/25/2026

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