Healthcare Provider Details

I. General information

NPI: 1336063866
Provider Name (Legal Business Name): SALUS ANESTHESIA GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N LA CIENEGA BLVD STE 201
BEVERLY HILLS CA
90211-2246
US

IV. Provider business mailing address

50 N LA CIENEGA BLVD STE 201
BEVERLY HILLS CA
90211-2246
US

V. Phone/Fax

Practice location:
  • Phone: 909-710-2020
  • Fax: 909-710-2021
Mailing address:
  • Phone: 909-710-2020
  • Fax: 909-710-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVUNI KAY HARRISON
Title or Position: BILLING ADMINISTRATOR
Credential:
Phone: 909-710-2020