=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174490445
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PALOMAR ANESTHESIA PARTNERS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2025
-----------------------------------------------------
Last Update Date | 10/21/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2185 CITRACADO PKWY
-----------------------------------------------------
City | ESCONDIDO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92029-4159
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 442-281-5000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 898 N PACIFIC COAST HWY STE 600
-----------------------------------------------------
City | EL SEGUNDO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90245-2747
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-379-2134
-----------------------------------------------------
Fax | 310-379-4856
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MARK BELL
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 310-321-0143
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------