Organization · Type 2 NPI
Portola Anesthesia Services LLC
Medical Specialty Clinic/Center · Lake Forest, CA
Practice location
29300 Portola Pkwy, Suite B
Lake Forest, CA 92630-8718
Fax (949) 716-2725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: 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).
3 other providers at this address
About NPI 1700103223
Portola Anesthesia Services LLC's National Provider Identifier is 1700103223, issued on Apr 23, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Lake Forest, CA. The record was last updated on Apr 23, 2010.