Provider profile · NPI 1205261534

Acute Care Anesthesia Services

Anesthesiology · Thousand Oaks, CA · NPI 1205261534 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Anesthesiology

Enumerated

Sep 5, 2013

License(s)

A110247 (CA)

Addresses on file

PurposeAddressCity/StatePhone
MAILINGPO BOX 10076 Van Nuys, CA 91410-0076805-578-8300
LOCATION215 W JANSS RD Thousand Oaks, CA 91360-1847619-200-6552

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