Unknown Individual – Anesthesiology Physician, NPI 1104861855
Anesthesiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Providence Little Company of Mary Medical Center San Pedro, 1300, West 7th Street, San Pedro, Los Angeles, Los Angeles County, California, 90732, United States
SAN PEDRO, CA 907323505
Phone: (310) 832-3311
Type: Location
Inglewood post office, Albert Street, Inglewood, Goondiwindi Regional, Queensland, 4387, Australia
INGLEWOOD, CA 903094331
Phone: (562) 628-9455
Fax: (562) 628-9456
Type: Mailing
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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Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 90732)
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