Provider Demographics
NPI:1326761453
Name:SCMD ANESTHESIA SERVICES
Entity Type:Organization
Organization Name:SCMD ANESTHESIA SERVICES
Other - Org Name:SCMD ANESTHESIA SERVICES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-245-1325
Mailing Address - Street 1:PO BOX 643141
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-8417
Mailing Address - Country:US
Mailing Address - Phone:213-245-1325
Mailing Address - Fax:213-772-6870
Practice Address - Street 1:8223 LOUISE AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4449
Practice Address - Country:US
Practice Address - Phone:213-245-1325
Practice Address - Fax:213-772-6870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty