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NPI Code Detail

MEDICARE: ARIEL ANESTHESIA SERVICES INC

MEDICARE: ARIEL ANESTHESIA SERVICES 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
1367500000XCertified Registered Nurse Anesthetist2899CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN530779OTHERCALICENSE

General Provider Information

NPI Number : 1780820472
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIEL ANESTHESIA SERVICES INC
Provider Business Mailing Address
First Line : PO BOX 34120
Second Line :
City : RENO
State : NV
Zip : 89533-4120
Country : US
Telephone Number : 775-747-5050
Fax Number :
Provider Business Practice Location Address
First Line : 11216 TRINITY RIVER DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-2968
Country : US
Telephone Number : 916-635-6161
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ARIEL RODRIGUEZ
Credential : CRNA
Telephone Number : 530-626-7668
Provider Enumeration Date : 12/30/2008
Last Update Date : 12/30/2008

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