Healthcare Provider Details

I. General information

NPI: 1699067371
Provider Name (Legal Business Name): CALIFORNIA ANESTHESIA NETWORK NURSING SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 06/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S SAN MATEO DR SUITE 400
SAN MATEO CA
94401-3857
US

IV. Provider business mailing address

700 S PARKER DR SUITE 8
FLORENCE SC
29501-6059
US

V. Phone/Fax

Practice location:
  • Phone: 866-877-2762
  • Fax:
Mailing address:
  • Phone: 866-877-2762
  • 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: LANORA ALLEN
Title or Position: RN
Credential:
Phone: 843-679-3251