St. Vincent Anesthesia Medical Group, Inc.
Organization Active NPI Anesthesiology Physician · Los Angeles, CA
NPI 1164535571 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1164535571
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ST. VINCENT ANESTHESIA MEDICAL GROUP, INC.
- Practice address
- 2131 W 3Rd St
Los Angeles, CA 90057-1901 - Phone
- (213) 484-7111
- Fax
- (213) 484-5525
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (818) 845-6206
Practitioners 20
-
Lingli Cai, M.D.
-
Jonathan Choi, DO
-
Howard S. Finn, M.D.
-
Ivan Hronek, M.D.
-
Dae Yong Lee, M.D.
-
Frederick Joe McKibben, M.D.
-
Kurt Raymond Neubauer, M.D.
-
Jay Packer, M.D.
-
Sudha Sahgal, M.D.
-
Ramin Shamtob, M.D.
-
Ronald W Slaughter, M.D.
-
Young Seok Suh, M.D.
-
Ngoc-Oanh Thi Tran, M.D.
-
Georgia Liles Tunstill, M.D.
-
Manuel Weiskopf, M.D.
National Provider Directory
Locations
555 S 7th Ave
#1112
Barstow, CA 92311
Phone (760) 256-1761
10904 Reagan St
#1182
Los Alamitos, CA 90720
Phone (562) 596-3140
2131 W 3rd St
#1182
Los Angeles, CA 90057
Phone (213) 484-7111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
2131 W 3Rd St
Los Angeles, CA 90057-1901
Mailing address
101 S 1St St
1000
Burbank, CA 91502-1938
Phone (818) 845-6206
Other practice location 1
10921 Cherry St Ste 100
Los Alamitos, CA 90720-2473
Phone (562) 795-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101590 | Medicaid | CA | |
| ZZZ65160Z | Other | CA | BLUE SHIELD |
Other providers in Los Angeles, CA
- St. Joseph Medical Clinic
- Jennifer Anne St. Jude
- St. Liz Hospice, Inc.
- St. Martin Hospice Inc
- St. Paul Center Alcohol and Drug Program
- St. Vincent Dialysis Center, Inc.
- St. Vincent Medical Center
- St. Vincent Medical Center
- St. Vincent Pathology Medical Group
- St.Nectarios Hospice, Inc.
All providers in Los Angeles, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.