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General NPI Number Information
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NPI Number | 1457399933
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Entity Type | Organization
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Legal Business Name | CALIFORNIA ANESTHESIA ASSOCIATES MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 11/28/2016
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Provider Practice Location Address
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Address Line | 2801 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1737
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Country | US
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Telephone | 562-933-2000
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Fax | 562-933-1336
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Provider Business Mailing Address
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Address Line | PO BOX 10429
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City | NEWPORT BEACH
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State | CA
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Zip | 92658-0429
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Country | US
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Telephone | 714-415-4050
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Fax | 714-415-4053
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT KEVIN JONES
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Credential | M.D.
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Telephone | 949-417-1812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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