Gary Havlicek in Long Beach - Nurse Anesthetist, Certified Registered
Gary Havlicek - NPI 1568553436
Gary Havlicek is a Nurse Anesthetist, Certified Registered in Long Beach, California. Gary Havlicek practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Gary Havlicek is 1568553436. The last update date is 2007-07-08.
Gary Havlicek's current location address is 3050 E Airport Way, Long Beach, California. You can contact this provider via phone number 5624269661 and fax number 5624264227. The mailing address for Gary Havlicek is 3050 E Airport Way, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Havlicek |
|---|---|
| Address | 3050 E Airport Way, Long Beach, California |
| Phone Number | 5624269661 |
| Fax Number | 5624264227 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1568553436 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3050 E Airport Way |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908062404 |
| Phone Number | 5624269661 |
| Fax Number | 5624264227 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 74 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RN2565630 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Gary Havlicek by the Centers for Medicare & Medicaid Services?
The Gary Havlicek has been issued the NPI (National Provider Identifier) 1568553436, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gary Havlicek is physically located?
The Gary Havlicek is physically situated at the following address: 3050 E Airport Way, Long Beach, CA, 908062404.
What is Gary Havlicek's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary Havlicek is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568553436 to Gary Havlicek?
The Centers for Medicare & Medicaid Services assigned the 1568553436 to Gary Havlicek on 2006-09-27.
When was the information regarding Gary Havlicek most recently updated?
The details pertaining to the Gary Havlicek, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.