Healthcare Provider Details

I. General information

NPI: 1023037132
Provider Name (Legal Business Name): SEQUOIA ANESTHESIA CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 ALAMEDA DE LAS PULGAS
REDWOOD CITY CA
94062-2751
US

IV. Provider business mailing address

700 IRWIN ST STE 102
SAN RAFAEL CA
94901-3300
US

V. Phone/Fax

Practice location:
  • Phone: 650-367-5700
  • Fax:
Mailing address:
  • Phone: 415-460-9927
  • 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: DR. L. SANDY MARGOLIS
Title or Position: COO
Credential: M.D.
Phone: 650-367-5700