Southwestern Anesthesia Group (Swag)

LBN: Southwestern Anesthesia Group (Swag)
Southwestern Anesthesia Group (Swag) is an health care organization with primary practice located at 5725 Soto St , Huntington Park CA 90255-2630. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Southwestern Anesthesia Group (Swag) can be contacted via phone (323) 587-9566, or through Stallworth, Otto Evan via phone (310) 792-3914.

Contact Information

Primary practice address
5725 Soto St Huntington Park CA 90255-2630
Phone: (323) 587-9566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stallworth, Otto Evan Doctor of Medicine (MD)
Phone: (310) 792-3914

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1629235841
LBN Legal business name Southwestern Anesthesia Group (Swag)
DBA Doing business as
Authorized official Stallworth, Otto Evan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated May 16th, 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 1629235841 NPPES
California MEDICAID PENDING

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