Basic Information
| Provider Information | |||||||||
| NPI: | 1942589122 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZEN ANESTHESIA, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9957 BISCAYNE LN | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891173625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022456979 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9957 BISCAYNE LN | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891173625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7022456979 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2011 | ||||||||
| LastUpdateDate: | 01/08/2015 | ||||||||
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| AuthorizedOfficialLastName: | LEE | ||||||||
| AuthorizedOfficialFirstName: | ALEXANDER | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 7022456979 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 13198 | NV | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.