| NPI | 1407596901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY RINDENAU Authorized Offical 818-902-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |