Dr JOHNICA A EYVAZZADEH BLEVANS MD is a female medical professional, specializing in Anesthesiology. She graduated in 2002 from University Of California, Ucla School Of Medicine.
MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC
76 BROOKWOOD AVE
SUITE B
SANTA ROSA
CA
954044312
Tel: 7075234907
| Npi | 1144274085 |
| Pac Id | 2668484882 |
| Professional Enrollment Id | I20071017000376 |
| Last Name | BLEVANS |
| First Name | JOHNICA |
| Middle Name | A EYVAZZADEH |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | MEDICAL ANESTHESIA CONSULTANTS MEDICAL GROUP INC |
| Group Practice Pac Id | 9436056785 |
| Number Of Group Practice Members | 151 |
| Line 1 Street Address | 76 BROOKWOOD AVE |
| Line 2 Street Address | SUITE B |
| Marker Of Address Line 2 Suppression | |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 954044312 |
| Phone Number | 7075234907 |
| Hospital Affiliation Ccn 1 | 050131 |
| Hospital Affiliation Lbn 1 | NOVATO COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 050008 |
| Hospital Affiliation Lbn 2 | CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP |
| Hospital Affiliation Ccn 3 | 050047 |
| Hospital Affiliation Lbn 3 | CALIFORNIA PACIFIC MEDICAL CTR-PACIFIC CAMPUS HOSP |
| Hospital Affiliation Ccn 4 | 050496 |
| Hospital Affiliation Lbn 4 | JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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