Healthcare Provider Details

I. General information

NPI: 1588151120
Provider Name (Legal Business Name): ESCONDIDO ANESTHESIA ASSOCIATES LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2018
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

488 E VALLEY PKWY STE 110
ESCONDIDO CA
92025-3366
US

IV. Provider business mailing address

1A BURTON HILLS BLVD
NASHVILLE TN
37215-6187
US

V. Phone/Fax

Practice location:
  • Phone: 760-735-6290
  • Fax: 760-735-6291
Mailing address:
  • Phone: 615-922-6102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JEAN KOCHENDORFER
Title or Position: SR DIRECTOR OF RCM TRANSFORMATION
Credential:
Phone: 615-240-3795