Provider Demographics
NPI:1689065476
Name:OPTIMO ANESTHESIA PLLC
Entity Type:Organization
Organization Name:OPTIMO ANESTHESIA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFFI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEMSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-486-6664
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-0332
Mailing Address - Country:US
Mailing Address - Phone:206-486-6664
Mailing Address - Fax:
Practice Address - Street 1:1900 116TH AVE NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3052
Practice Address - Country:US
Practice Address - Phone:206-486-6664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-15
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60187972207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty