Provider Demographics
NPI:1235653049
Name:PACIFIC ANESTHESIA PARTNERS
Entity Type:Organization
Organization Name:PACIFIC ANESTHESIA PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GADI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARZANIPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-963-9727
Mailing Address - Street 1:1828 HOLMBY AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4917
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3711 LONG BEACH BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3300
Practice Address - Country:US
Practice Address - Phone:310-963-9727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty