Healthcare Provider Details

I. General information

NPI: 1013662048
Provider Name (Legal Business Name): COACHELLA VALLEY ANESTHESIA A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2022
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 34TH ST
BAKERSFIELD CA
93301-2237
US

IV. Provider business mailing address

DEPT 354 PO BOX 509015
SAN DIEGO CA
92150-9015
US

V. Phone/Fax

Practice location:
  • Phone: 760-538-5898
  • Fax:
Mailing address:
  • Phone: 866-406-4558
  • Fax: 706-653-1162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARUNKUMAR THUNGA
Title or Position: PRESIDENT
Credential: MBBS
Phone: 785-418-0314