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Lighthouse Anesthesia Medical Group
Specialist in Garden Grove, California
NPI 1447306543

Lighthouse Anesthesia Medical Group is a Specialist based in Garden Grove, CA. Lighthouse Anesthesia Medical Group practices in Garden Grove, CA. The NPI Number for Lighthouse Anesthesia Medical Group is 1447306543 and holds a License No. G81625 (California).

The current practice location address for Lighthouse Anesthesia Medical Group is 12601 Garden Grove Blvd, Garden Grove, CA and can be reached out via phone at 714-537-5160.

Location: 12601 Garden Grove Blvd, Garden Grove, CA, 92842-0775
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447306543
Provider Name
Lighthouse Anesthesia Medical Group
Credential
Provider Entity Type
Organization
Address
12601 Garden Grove Blvd, Garden Grove, CA, 92842-0775
Phone Number
714-537-5160
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G816250 05 CA
institution
Provider Business Practice Location Address Details
Address
12601 Garden Grove Blvd
City
Garden Grove
State
California
Zip
92843-1908
Phone Number
714-537-5160
Fax Number
person
Provider Business Mailing Address Details
Address
12601 Garden Grove Blvd
City
Garden Grove
State
California
Zip
92843-1908
Phone Number
714-537-5160
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G81625 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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