Healthcare Provider Details

I. General information

NPI: 1134039274
Provider Name (Legal Business Name): ST FRANCIS TURIYA ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3630 E IMPERIAL HWY
LYNWOOD CA
90262-2609
US

IV. Provider business mailing address

2007 GRAHAM AVE
REDONDO BEACH CA
90278-1922
US

V. Phone/Fax

Practice location:
  • Phone: 310-900-8900
  • Fax:
Mailing address:
  • Phone:
  • 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: SUSHMITHA SANTHOSH
Title or Position: PRESIDENT
Credential: MD
Phone: 786-338-8676