Basic Information
| Provider Information | |||||||||
| NPI: | 1043343577 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | VALLEY ANESTHESIA ASSOCIATES INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3550 Q ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933011662 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613235918 | ||||||||
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| Practice Location | |||||||||
| Address1: | 901 OLIVE DR | ||||||||
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| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933084137 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613994461 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2007 | ||||||||
| LastUpdateDate: | 11/14/2007 | ||||||||
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| AuthorizedOfficialLastName: | CHIVINGTON | ||||||||
| AuthorizedOfficialFirstName: | LEAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6613235918 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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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.