Healthcare Provider Details

I. General information

NPI: 1730667841
Provider Name (Legal Business Name): ALLIANCE ANESTHESIA ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 S ATLANTIC BLVD
MONTEREY PARK CA
91754-4716
US

IV. Provider business mailing address

6100 WATERFORD DISTRICT DR STE 450
MIAMI FL
33126-4692
US

V. Phone/Fax

Practice location:
  • Phone: 626-570-9000
  • Fax: 626-570-5700
Mailing address:
  • Phone: 888-787-1598
  • Fax: 714-795-6829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. FERNANDO GAVIA
Title or Position: PRESIDENT
Credential: MD
Phone: 323-434-8991