Provider Demographics
NPI:1083847099
Name:MURRIETA ANESTHESIA CORPORATION
Entity Type:Organization
Organization Name:MURRIETA ANESTHESIA CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:H
Authorized Official - Last Name:THIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-600-1091
Mailing Address - Street 1:41670 IVY ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9432
Mailing Address - Country:US
Mailing Address - Phone:951-600-1091
Mailing Address - Fax:
Practice Address - Street 1:40740 CALIFORNIA OAKS RD
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5727
Practice Address - Country:US
Practice Address - Phone:951-304-2200
Practice Address - Fax:951-304-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty