Provider Demographics
NPI:1659611630
Name:VELO ANESTHESIA
Entity Type:Organization
Organization Name:VELO ANESTHESIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:SABATINI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:561-703-1003
Mailing Address - Street 1:647 E PALM AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-6273
Mailing Address - Country:US
Mailing Address - Phone:561-703-1003
Mailing Address - Fax:
Practice Address - Street 1:647 E PALM AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-6273
Practice Address - Country:US
Practice Address - Phone:561-703-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty