Healthcare Provider Details

I. General information

NPI: 1518858356
Provider Name (Legal Business Name): BRIGHT ANESTHESIA A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 PARK TER STE 300
LOS ANGELES CA
90045-9212
US

IV. Provider business mailing address

1732 AVIATION BLVD # 202
REDONDO BEACH CA
90278-2810
US

V. Phone/Fax

Practice location:
  • Phone: 310-665-7150
  • Fax:
Mailing address:
  • Phone: 310-737-2844
  • 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: CARLOS ALBERTO GARCIA
Title or Position: COO
Credential: MD
Phone: 310-990-8268