Healthcare Provider Details

I. General information

NPI: 1356575138
Provider Name (Legal Business Name): CALIFORNIA ANESTHESIA SPECIALISTS, AMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2009
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38600 MEDICAL CENTER DRIVE
PALMDALE CA
93551-4483
US

IV. Provider business mailing address

13601 PRESTON ROAD SUITE 1000W
DALLAS TX
75240-4911
US

V. Phone/Fax

Practice location:
  • Phone: 661-382-5000
  • Fax:
Mailing address:
  • Phone: 972-776-3007
  • Fax: 972-663-8315

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: MICHAEL BURR
Title or Position: OWNER
Credential: MD
Phone: 214-932-1020