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NPI Code Detail

MEDICARE: GROUP ANESTHESIA SERVICES INC., A MEDICAL CORPORATION

MEDICARE: GROUP ANESTHESIA SERVICES INC., A MEDICAL CORPORATION
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 PhysicianN/A

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548218944
Entity Type Code : Organization
Provider Name (Legal Business Name) : GROUP ANESTHESIA SERVICES INC., A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 51441
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-5741
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2425 SAMARITAN DR
Second Line :
City : SAN JOSE
State : CA
Zip : 95124-3908
Country : US
Telephone Number : 408-558-2100
Fax Number : 408-559-2609
Authorized Official
Title or Position : PRESIDENT
Name : DR. HENRY KAMALI
Credential : MD
Telephone Number : 503-372-2740
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/29/2008

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Directions to “GROUP ANESTHESIA SERVICES INC., A MEDICAL CORPORATION ” Practice Location

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