Provider Demographics
NPI:1164722153
Name:TORREY PINES ANESTHESIA CONSULTANTS
Entity Type:Organization
Organization Name:TORREY PINES ANESTHESIA CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGISTS
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:PEREZ
Authorized Official - Last Name:LIZANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-271-9923
Mailing Address - Street 1:PO BOX 910426
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92191-0426
Mailing Address - Country:US
Mailing Address - Phone:619-271-9923
Mailing Address - Fax:619-407-7498
Practice Address - Street 1:9850 GENESEE AVE STE 610
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1217
Practice Address - Country:US
Practice Address - Phone:858-558-2294
Practice Address - Fax:858-558-2260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52868207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty