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: 03/07/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4002 VISTA WAY
OCEANSIDE CA
92056-4506
US
IV. Provider business mailing address
120 BRENTWOOD COMMONS WAY STE 510
BRENTWOOD TN
37027-2028
US
V. Phone/Fax
- Phone: 760-724-8411
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURA
FALL
Title or Position: MANAGER
Credential:
Phone: 253-682-6040