Healthcare Provider Details

I. General information

NPI: 1861177958
Provider Name (Legal Business Name): ESC ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 06/16/2023
Certification Date: 06/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 BROOKHURST ST STE 3200
FOUNTAIN VALLEY CA
92708-6728
US

IV. Provider business mailing address

PO BOX 25033
SANTA ANA CA
92799-5033
US

V. Phone/Fax

Practice location:
  • Phone: 714-369-1100
  • Fax: 714-464-4645
Mailing address:
  • Phone: 714-347-1000
  • Fax: 714-347-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ELLEN CHO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-508-1908