Unknown Individual – Anesthesiology Physician, NPI 1104864339
Anesthesiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
210, North Tustin Avenue, Santa Ana, Orange County, California, 92705, United States
SANTA ANA, CA 927053807
Phone: (800) 883-7243
Fax: (714) 647-1245
Type: Mailing
13153, Brookhurst Street, Garden Grove, Orange County, California, 92843, United States
GARDEN GROVE, CA 928431080
Phone: (714) 785-5950
Fax: (866) 652-2982
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92705)
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