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NPI Code Detail

MEDICARE: TL ANESTHESIA INC

MEDICARE: TL ANESTHESIA INC
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 Physician20A8145CA

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 : 1609974914
Entity Type Code : Organization
Provider Name (Legal Business Name) : TL ANESTHESIA INC
Provider Business Mailing Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 800-883-7243
Fax Number : 714-647-1245
Provider Business Practice Location Address
First Line : 21530 PIONEER BLVD
Second Line :
City : HAWAIIAN GARDENS
State : CA
Zip : 90716-2608
Country : US
Telephone Number : 562-860-0401
Fax Number : 714-647-1245
Authorized Official
Title or Position : PRESIDENT
Name : DR. HOANGTIEN LA
Credential : DO
Telephone Number : 800-883-7243
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2013

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Directions to “TL ANESTHESIA INC ” Practice Location

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