Healthcare Provider Details

I. General information

NPI: 1538031901
Provider Name (Legal Business Name): CALABASAS ANESTHESIA ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24003A VENTURA BLVD
CALABASAS CA
91302-1447
US

IV. Provider business mailing address

24003A VENTURA BLVD
CALABASAS CA
91302-1447
US

V. Phone/Fax

Practice location:
  • Phone: 818-995-8590
  • Fax: 818-285-5955
Mailing address:
  • Phone: 818-995-8590
  • Fax: 818-285-5955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. PHILIP H CONWISAR
Title or Position: CEO
Credential: MD
Phone: 818-995-8590