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General NPI Number Information
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NPI Number | 1538424908
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Entity Type | Organization
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Legal Business Name | SAN GABRIEL ANESTHESIA ASSOCIATES, PC
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1403 N TUSTIN AVE STE 100
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City | SANTA ANA
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State | CA
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Zip | 92705-8691
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Country | US
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Telephone | 714-633-1338
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Fax | 844-897-3788
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Provider Business Mailing Address
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Address Line | 288 N SANTA ANITA AVE STE 402
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City | ARCADIA
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State | CA
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Zip | 91006-3183
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Country | US
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Telephone | 800-898-2020
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Fax | 844-897-3788
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LILY LEE
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Credential | M.D.
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Telephone | 800-898-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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