Healthcare Provider Details
I. General information
NPI: 1598605420
Provider Name (Legal Business Name): NORTH COUNTY ANESTHESIA MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6250 EL CAMINO REAL STE 201
CARLSBAD CA
92009-1603
US
IV. Provider business mailing address
6250 EL CAMINO REAL STE 101
CARLSBAD CA
92009-1603
US
V. Phone/Fax
- Phone: 619-493-2314
- Fax: 442-325-0070
- Phone: 619-493-2314
- Fax: 757-760-7849
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GLENN
CHARLES
SNYDERS
JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 619-493-2314