PORTOLA ANESTHESIA SERVICES LLC

LAKE FOREST, CA
NPI1700103223
Entity TypeOrganization
Authorized ContactAIMEE DIDION
Accounting
949-837-3338
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
Enumeration Date2010-04-23
Last Update Date2010-04-23
Business Address
PORTOLA ANESTHESIA SERVICES LLC
29300 PORTOLA PKWY SUITE B
LAKE FOREST, CA 92630-8718
Phone number: 949-837-3338
Mailing Address
PORTOLA ANESTHESIA SERVICES LLC
29300 PORTOLA PKWY SUITE B
LAKE FOREST, CA 92630-8718
Phone number: 949-837-3338
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