Provider Demographics
NPI:1699804914
Name:OAK ANESTHESIA ASSOCIATES MEDICAL
Entity type:Organization
Organization Name:OAK ANESTHESIA ASSOCIATES MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HESTRIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-903-1980
Mailing Address - Street 1:PO BOX 261070
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91426-1070
Mailing Address - Country:US
Mailing Address - Phone:310-903-1980
Mailing Address - Fax:818-880-9570
Practice Address - Street 1:5530 WISCONSIN AVE STE 1455
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4302
Practice Address - Country:US
Practice Address - Phone:805-682-7222
Practice Address - Fax:805-687-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty