1184163016 NPI number — GLOBAL ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION

Table of content: VANNESSA MARTIN (NPI 1114494143)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184163016 NPI number — GLOBAL ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOBAL ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
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NPI Number Information

NPI Number:
1184163016
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/12/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5 HOLLAND
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
IRVINE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92618-2566
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-588-2190
Provider Business Mailing Address Fax Number:
949-588-2199

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
900 E WASHINGTON ST
Provider Second Line Business Practice Location Address:
SUITE 155
Provider Business Practice Location Address City Name:
COLTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92324-7111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-370-2190
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2017

Additional Information

Authorized Official

Authorized Official Last Name:
HARRIS
Authorized Official First Name:
SHILONDA
Authorized Official Middle Name:
R.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
205-718-5137

Provider Taxonomy Codes

  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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