Healthcare Provider Details

I. General information

NPI: 1003390311
Provider Name (Legal Business Name): ZZDREAM ANESTHESIA SERVICES NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1082 GLENDON AVE
LOS ANGELES CA
90024-2908
US

IV. Provider business mailing address

5 HOLLAND STE 101
IRVINE CA
92618-2568
US

V. Phone/Fax

Practice location:
  • Phone: 310-209-2011
  • Fax:
Mailing address:
  • Phone: 949-588-2190
  • Fax: 949-588-2199

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: NANCY CHRISTIANO
Title or Position: PRESIDENT
Credential: C.R.N.A
Phone: 562-426-3986