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NPI Code Detail

MEDICARE: CEP AMERICA - ANESTHESIA PC

MEDICARE: CEP AMERICA - ANESTHESIA PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1528537719
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEP AMERICA - ANESTHESIA PC
Provider Business Mailing Address
First Line : 2100 POWELL ST STE 900
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1844
Country : US
Telephone Number : 510-350-2680
Fax Number : 510-879-9074
Provider Business Practice Location Address
First Line : 3475 GS RICHARDS BLVD STE 110
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-8462
Country : US
Telephone Number : 775-885-7726
Fax Number :
Authorized Official
Title or Position : COO
Name : DAVID BIRDSALL
Credential : MD
Telephone Number : 510-350-2600
Provider Enumeration Date : 11/16/2018
Last Update Date : 03/22/2019

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Directions to “CEP AMERICA - ANESTHESIA PC ” Practice Location

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