MEDICARE: ANESTHESIOLOGY AND NURSING 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
1	367500000X	Certified Registered Nurse Anesthetist

General Provider Information

NPI Number	:	1790271690
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIOLOGY AND NURSING SERVICES INC

Provider Business Mailing Address
First Line	:	420 E 3RD STREET
Second Line	:	SUITE 1005
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-1648
Country	:	US
Telephone Number	:	213-935-8795
Fax Number	:	213-935-8786

Provider Business Practice Location Address
First Line	:	420 E 3RD STREET
Second Line	:	SUITE 1005
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-1648
Country	:	US
Telephone Number	:	213-935-8795
Fax Number	:	213-935-8786

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MR. MONTE MORRIS CHRISTEN
Credential	:	CRNA
Telephone Number	:	310-963-2508

Provider Enumeration Date	:	07/03/2018
Last Update Date	:	07/03/2018

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