05D2262246 CLIA NUMBER - AG SIMPLY MEDICINE

Laboratory Demographics

CLIA Number: 05D2262246

Facility Name: AG SIMPLY MEDICINE

Facility Address:
1687 ERRINGER ROAD SUITE 217
SIMI VALLEY, CA
ZIP 93065
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Facility Phone Number: 805 422-8131

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407518418

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name	Field Value
CLIA Number	05D2262246
LAB Type	Physician Office
Facility Name	AG SIMPLY MEDICINE
Street	1687 ERRINGER ROAD SUITE 217
City	SIMI VALLEY
State	CA
ZIP	93065
Phone	805 422-8131
CertificateType	4
CertificateEffectiveDate	6/12/2022
CertificateExpirationDate	6/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024