Shasta Anesthesia Consultants A Medical Group Inc

LBN: Shasta Anesthesia Consultants A Medical Group Inc
Shasta Anesthesia Consultants A Medical Group Inc is an health care organization with primary practice located at 2175 Rosaline Ave , Redding CA 96001-2509. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Shasta Anesthesia Consultants A Medical Group Inc can be contacted via phone (530) 225-6000, or through Moon, Brian W via phone (530) 225-7100.

Contact Information

Primary practice address
2175 Rosaline Ave Redding CA 96001-2509
Fax: (530) 243-0445
Website:
Authorized official contact:
Name: Moon, Brian W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G80229 California

Profile Details

NPI number 1467406603
LBN Legal business name Shasta Anesthesia Consultants A Medical Group Inc
DBA Doing business as
Authorized official Moon, Brian W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Apr 9th, 2014 - about 10 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 1467406603 NPPES
California MEDICAID GR0054920

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