Peninsula Anesthesia Group, Inc.
LBN: Peninsula Anesthesia Group, Inc.
Peninsula Anesthesia Group, Inc. is an health care organization with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Peninsula Anesthesia Group, Inc. can be contacted via phone (310) 832-3311, or through Gross, Maurice L. via phone (310) 406-3760.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | ||
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X |
Profile Details
NPI number | 1427014091 |
---|---|
LBN Legal business name | Peninsula Anesthesia Group, Inc. |
DBA Doing business as | |
Authorized official | Gross, Maurice L. Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 24th, 2006 |
Last updated | Apr 30th, 2008 - about 17 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 | 1427014091 | NPPES |
California | Other | ZZZ64632Z | BLUE SHIELD |
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