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Portola Anesthesia Services Llc
Medical Specialty Clinic/Center in Lake Forest, California
NPI 1700103223

Portola Anesthesia Services Llc is a Medical Specialty Clinic/Center based in Lake Forest, CA and is specialized in Medical Specialty. Portola Anesthesia Services Llc practices in Lake Forest, CA. The NPI Number for Portola Anesthesia Services Llc is 1700103223 and holds a License No. (California).

The current practice location address for Portola Anesthesia Services Llc is 29300 Portola Pkwy, Lake Forest, CA and can be reached out via phone at 949-837-3338 and via fax at 949-716-2725.

Location: 29300 Portola Pkwy, Lake Forest, CA, 92630-8718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700103223
Provider Name
Portola Anesthesia Services Llc
Credential
Provider Entity Type
Organization
Address
29300 Portola Pkwy, Lake Forest, CA, 92630-8718
Phone Number
949-837-3338
Fax Number
949-716-2725
Provider Enumeration Date
04/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29300 Portola Pkwy
City
Lake Forest
State
California
Zip
92630-8718
Phone Number
949-837-3338
Fax Number
949-716-2725
person
Provider Business Mailing Address Details
Address
29300 Portola Pkwy
City
Lake Forest
State
California
Zip
92630-8718
Phone Number
949-837-3338
Fax Number
949-716-2725
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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