Healthcare Provider Details

I. General information

NPI: 1497007496
Provider Name (Legal Business Name): EXPRESS ANESTHESIA CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27200 CALAROGA AVE
HAYWARD CA
94545-4339
US

IV. Provider business mailing address

5 HOLLAND SUITE 101
IRVINE CA
92618-2566
US

V. Phone/Fax

Practice location:
  • Phone: 510-264-4000
  • Fax:
Mailing address:
  • Phone: 949-588-2190
  • Fax: 949-588-2199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: PARAMDEEP BHASIN
Title or Position: PRESIDENT/OWNER
Credential: M. D.
Phone: 949-588-2190