Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Radiance Anesthesia Group Inc

Organization Anesthesiology Physician · NPI 1790038883

Radiance Anesthesia Group Inc is an Anesthesiology Physician in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5170 Sepulveda Blvd Ste 220
Sherman Oaks, CA 91403-1171
Phone: (818) 565-9802
Fax: (818) 995-8703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Anesthesiology Physician Taxonomy 207L00000X (CA)

Record details

NPI number1790038883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Nicolas — Administrator · (818) 565-9802
NPI enumeratedOctober 26, 2012
Last updated in NPPESAugust 11, 2016
Mailing address5170 Sepulveda Blvd, Suite 220, Sherman Oaks, CA 91403-1171

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