Healthcare Provider Details

I. General information

NPI: 1437013836
Provider Name (Legal Business Name): ANESTHESIA ASSOCIATES OF SOUTHERN CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 N TUSTIN AVE
SANTA ANA CA
92705-3502
US

IV. Provider business mailing address

450 MAMARONECK AVE STE 201
HARRISON NY
10528-2436
US

V. Phone/Fax

Practice location:
  • Phone: 914-491-9495
  • Fax: 914-491-9495
Mailing address:
  • Phone: 914-491-9495
  • Fax: 914-491-9495

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. MARC E KOCH
Title or Position: PRESIDENT & CEO
Credential: MD
Phone: 914-491-9495