Provider Demographics
NPI:1457013617
Name:CENTURY CITY ANESTHESIA ASSOCIATES
Entity Type:Organization
Organization Name:CENTURY CITY ANESTHESIA ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MOEINOLMOLKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-831-2561
Mailing Address - Street 1:2080 CENTURY PARK E STE 501
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2008
Mailing Address - Country:US
Mailing Address - Phone:443-831-2561
Mailing Address - Fax:424-344-3654
Practice Address - Street 1:2080 CENTURY PARK E STE 501
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2008
Practice Address - Country:US
Practice Address - Phone:443-831-2561
Practice Address - Fax:424-344-3654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty