Basic Information
Provider Information
NPI: 1003158619
EntityType: 2
ReplacementNPI:  
OrganizationName: H&H ANESTHESIA ASSOCIATES, INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: H&H ANESTHESIA ASSOCIATES, INC
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 969096
Address2:  
City: SAN DIEGO
State: CA
PostalCode: 921969096
CountryCode: US
TelephoneNumber: 8584950971
FaxNumber: 8584950991
Practice Location
Address1: 8525 GIBBS DR
Address2: STE. 208
City: SAN DIEGO
State: CA
PostalCode: 921231755
CountryCode: US
TelephoneNumber: 8584950971
FaxNumber: 8584950991
Other Information
ProviderEnumerationDate: 03/21/2013
LastUpdateDate: 03/21/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HOSALKAR
AuthorizedOfficialFirstName: HETAL
AuthorizedOfficialMiddleName: H
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 8584950971
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA109083CAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
A10908301CALICENSEOTHER


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