Basic Information
| Provider Information | |||||||||
| NPI: | 1407148810 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CALIFORNIA ANESTHESIA NETWORK SERVICES, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 S PARKER DR | ||||||||
| Address2: | SUITE 8 | ||||||||
| City: | FLORENCE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 295016059 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668772762 | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 S SAN MATEO DR | ||||||||
| Address2: | SUITE #400 | ||||||||
| City: | SAN MATEO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 944013857 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668772762 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2011 | ||||||||
| LastUpdateDate: | 05/04/2011 | ||||||||
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| AuthorizedOfficialLastName: | ALLEN | ||||||||
| AuthorizedOfficialFirstName: | LANORA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 18668772762 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | RN | ||||||||
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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.