Provider Demographics
NPI:1700118791
Name:STRAUSS, ERNEST G (MD)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:G
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30243 CALLE DE SUENOS
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-4519
Mailing Address - Country:US
Mailing Address - Phone:310-541-3696
Mailing Address - Fax:310-541-5626
Practice Address - Street 1:30243 CALLE DE SUENOS
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-4519
Practice Address - Country:US
Practice Address - Phone:310-541-3696
Practice Address - Fax:310-541-5626
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFE32685207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology