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General NPI Number Information
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NPI Number | 1518858356
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Entity Type | Organization
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Legal Business Name | BRIGHT ANESTHESIA A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 4553 GLENCOE AVE STE 100
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City | MARINA DEL REY
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State | CA
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Zip | 90292-7917
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Country | US
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Telephone | 310-912-6170
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Fax |
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Provider Business Mailing Address
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Address Line | 1590 ROSECRANS AVE STE D
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-3716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CARLOS ALBERTO GARCIA
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Credential |
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Telephone | 310-990-8268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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