ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION INC. NPI 1306139910

NPI Information

  • NPI: 1306139910
  • Provider Name: ANESTHESIA ASSISTED MEDICAL OPIATE DETOXIFICATION, INC.
  • Classification: Anesthesiology - 207LA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 2776 PACIFIC AVE
    LONG BEACH, CA
    ZIP 90806
  • Phone: (310) 205-0808

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207LA0401XAnesthesiologyAddiction Medicine32166CALIFORNIAYes

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This page was last updated on: 3/30/2025

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