Healthcare Provider Details

I. General information

NPI: 1790059608
Provider Name (Legal Business Name): PRECISION ANESTHESIA CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2012
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 N ROSE DR
PLACENTIA CA
92870-3802
US

IV. Provider business mailing address

PO BOX 1809
ORANGE CA
92856-0809
US

V. Phone/Fax

Practice location:
  • Phone: 714-993-2000
  • Fax:
Mailing address:
  • Phone: 714-560-1580
  • Fax: 714-560-1585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG76742
License Number StateCA

VIII. Authorized Official

Name: DR. JEFFREY M PASKIL
Title or Position: PRESIDENT
Credential: MD
Phone: 714-875-3414