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ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION INC. NPI 1306139910


NPI Information

NPI: 1306139910
Provider Name: ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.
Classification: Anesthesiology - 207LA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
2776 PACIFIC AVE
LONG BEACH, CA
ZIP 90806
Phone: (310) 205-0808
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ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC. is an addiction medicine anesthesiology in Long Beach, CA. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC. NPI is 1306139910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2776 PACIFIC AVE
LONG BEACH, CA
ZIP 90806-613
Phone: (310) 205-0808

The provider's authorized official is Clare Waismann .
The authorized official title is Manager and has the following contact phone number (310) 205-0808.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 5/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LA0401XAnesthesiologyAddiction Medicine32166CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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