Healthcare Provider Details

I. General information

NPI: 1962148882
Provider Name (Legal Business Name): INLAND ANESTHESIA PARTNERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W SAN BERNARDINO RD
COVINA CA
91723-1515
US

IV. Provider business mailing address

PO BOX 80690
CITY OF INDUSTRY CA
91716-8415
US

V. Phone/Fax

Practice location:
  • Phone: 310-321-0143
  • Fax: 310-379-4856
Mailing address:
  • Phone: 310-321-0413
  • Fax: 310-379-4856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARK R BELL
Title or Position: PRESIDENT
Credential: MD
Phone: 310-379-2134