Pacwest Anesthesia Medical Group, Inc
LBN: Pacwest Anesthesia Medical Group, Inc
Pacwest Anesthesia Medical Group, Inc is an health care organization with primary practice located at 1401 S Grand Ave , Los Angeles CA 90015-3010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty.
Pacwest Anesthesia Medical Group, Inc can be contacted via phone (213) 748-2411, or through Gidaya, Ernesto P via phone (213) 742-5401.
Contact Information
Primary practice address
1401 S Grand Ave
Los Angeles CA 90015-3010
Phone: (213) 748-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A38770 | California |
Profile Details
| NPI number | 1518924075 |
|---|---|
| LBN Legal business name | Pacwest Anesthesia Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Gidaya, Ernesto P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | May 20th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518924075 | NPPES |
| California | Other | ZZZ504667Y | BLUE SHIELD |
| California | MEDICAID | GR0103850 | BLUE SHIELD |
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