San Bernardino Anesthesia Medical Group, Inc.

LBN: San Bernardino Anesthesia Medical Group, Inc.
San Bernardino Anesthesia Medical Group, Inc. is an health care organization with primary practice located at 2101 N Waterman Ave , San Bernardino CA 92404-4836. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. San Bernardino Anesthesia Medical Group, Inc. can be contacted via phone (909) 883-8711, or through Roth, Samuel J via phone (800) 883-7243.

Contact Information

Primary practice address
2101 N Waterman Ave San Bernardino CA 92404-4836
Phone: (909) 883-8711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roth, Samuel J Doctor of Medicine (MD)
Phone: (800) 883-7243

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X FNP 36940 California

Profile Details

NPI number 1477681187
LBN Legal business name San Bernardino Anesthesia Medical Group, Inc.
DBA Doing business as
Authorized official Roth, Samuel J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477681187 NPPES
California MEDICAID 1477681187

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