Healthcare Provider Details

I. General information

NPI: 1356691232
Provider Name (Legal Business Name): LOIS REMELY, CRNA, MS ANESTHESIA SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2012
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 WANKEL WAY
OXNARD CA
93030-2665
US

IV. Provider business mailing address

PO BOX 60790
PASADENA CA
91116-6790
US

V. Phone/Fax

Practice location:
  • Phone: 805-405-1908
  • Fax:
Mailing address:
  • Phone: 626-795-6596
  • Fax: 626-795-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MS. LOIS J. REMELY
Title or Position: NURSE ANESTHETIST
Credential: CRNA
Phone: 805-402-8162