South Bay Anesthesia Medical Group Inc.

LBN: South Bay Anesthesia Medical Group Inc.
South Bay Anesthesia Medical Group Inc. is an health care organization with primary practice located at 4101 Torrance Blvd , Torrance CA 90503-4607. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. South Bay Anesthesia Medical Group Inc. can be contacted via phone (310) 540-7676, or through Wymore, Dwight Alan via phone (310) 792-0601.

Contact Information

Primary practice address
4101 Torrance Blvd Torrance CA 90503-4607
Phone: (310) 540-7676
Fax: (310) 540-1485
Website:
Map and Directions
Authorized official contact:
Name: Wymore, Dwight Alan Doctor of Medicine (MD)
Phone: (310) 792-0601

Health care specialties

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

Profile Details

NPI number 1073531836
LBN Legal business name South Bay Anesthesia Medical Group Inc.
DBA Doing business as
Authorized official Wymore, Dwight Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 13th, 2019 - about 5 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 1073531836 NPPES
California MEDICAID GR0076760
California Other ZZZ53133Z

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