Healthcare Provider Details

I. General information

NPI: 1518889732
Provider Name (Legal Business Name): GREENLIGHT ANESTHESIA SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2097 COMPTON AVE STE 101
CORONA CA
92881-7282
US

IV. Provider business mailing address

700 E BIRCH ST UNIT 1172
BREA CA
92822-2055
US

V. Phone/Fax

Practice location:
  • Phone: 951-496-3044
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANCIS NGUYEN
Title or Position: OWNER, PRESIDENT
Credential: MD
Phone: 626-991-7742