Healthcare Provider Details

I. General information

NPI: 1497595565
Provider Name (Legal Business Name): TURIYA ANESTHESIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 STUDEBAKER RD
NORWALK CA
90650-2531
US

IV. Provider business mailing address

PO BOX 104209
PASADENA CA
91189-4209
US

V. Phone/Fax

Practice location:
  • Phone: 562-868-3751
  • Fax:
Mailing address:
  • Phone: 310-912-6621
  • 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: MURLIKRISHNA KANNAN
Title or Position: SECRETARY
Credential: MD
Phone: 305-469-7648