Basic Information
| Provider Information | |||||||||
| NPI: | 1023037132 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SEQUOIA ANESTHESIA CONSULTANTS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 IRWIN ST STE 102 | ||||||||
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| City: | SAN RAFAEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949013300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154609927 | ||||||||
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| Practice Location | |||||||||
| Address1: | 170 ALAMEDA DE LAS PULGAS | ||||||||
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| City: | REDWOOD CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940622751 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503675700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MARGOLIS | ||||||||
| AuthorizedOfficialFirstName: | L. SANDY | ||||||||
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| AuthorizedOfficialTitleorPosition: | COO | ||||||||
| AuthorizedOfficialTelephone: | 6503675700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.