1730941634 NPI number — RANCHO SPRINGS ANESTHESIA PARTNERS, INC

Table of content: DR. NOUR MAHMOUD ABDELGHANI PSYD (NPI 1336510452)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730941634 NPI number — RANCHO SPRINGS ANESTHESIA PARTNERS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RANCHO SPRINGS ANESTHESIA PARTNERS, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
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:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730941634
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
898 N PACIFIC COAST HWY STE 600
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EL SEGUNDO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90245-2747
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-698-5452
Provider Business Mailing Address Fax Number:
310-379-4856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25500 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURRIETA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92562-5965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-696-6000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2024

Additional Information

Authorized Official

Authorized Official Last Name:
EDWARDS
Authorized Official First Name:
IRV
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
310-321-0143

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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