Blue Eagle Anesthesia INC a Professional Corporation

NPI #1396822326 in Daly City, California

Provider Information

NPI Number: 1396822326
Entity Type: Organization
Organization Name: Blue Eagle Anesthesia INC a Professional Corporation
Primary Specialty: Anesthesiology
Enumeration Date: Nov 1, 2006
Last Updated: Mar 14, 2012

Practice Location

Address: 901 CAMPUS DR
Address 2: SUITE 102
City: Daly City
State: California
ZIP Code: 94015-4900
Phone: (650) 991-2000

Authorized Official

Name: MS. YI CHING CHIANG, DO
Title: GROUP PRESIDENT
Phone: (650) 991-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X
Anesthesiology	207L00000X	Primary

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