Healthcare Provider Details
I. General information
NPI: 1699408229
Provider Name (Legal Business Name): SOUND PHYSICIANS ANESTHESIOLOGY OF CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
28062 BAXTER RD
MURRIETA CA
92563-1401
US
IV. Provider business mailing address
1222 DEMONBREUN ST STE 1601
NASHVILLE TN
37203-7092
US
V. Phone/Fax
- Phone: 951-290-4000
- Fax:
- Phone: 253-682-6040
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
FALL
Title or Position: MANAGER
Credential:
Phone: 253-682-6040