Reve Brander, CRNA | |
13916 La Maida St, Sherman Oaks, CA 91423-1907 | |
(631) 339-5015 | |
Not Available |
Full Name | Reve Brander |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 13916 La Maida St, Sherman Oaks, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275190258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 687781-1 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | NA95001235 (California) | Primary |
Entity Name | Allied Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
Entity Name | Precision Anesthesia Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205253929 PECOS PAC ID: 6204145105 Enrollment ID: O20151015001459 |
Entity Name | Sunset Anesthesia Group A Professional Nursing Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932891678 PECOS PAC ID: 2769842293 Enrollment ID: O20230717000380 |
Entity Name | Quality Medical Management Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20240829003308 |
Mailing Address | Practice Location Address |
---|---|
Reve Brander, CRNA 13916 La Maida St, Sherman Oaks, CA 91423-1907 Ph: (631) 339-5015 | Reve Brander, CRNA 13916 La Maida St, Sherman Oaks, CA 91423-1907 Ph: (631) 339-5015 |
Alia Shirzad, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14414 Addison St Unit 25, Sherman Oaks, CA 91423 Phone: 310-699-8099 Fax: 888-906-3136 |