| California Emergency Physicians Medical Group, A Professional Corp | |
|
710 W 13th Ave Escondido CA 92025-5511 | |
| (760) 208-2520 | |
| Not Available |
| Full Name | California Emergency Physicians Medical Group, A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 710 W 13th Ave, Escondido, California |
| Authorized Official Name and Position | Theophile Koury (PRESIDENT) |
| Authorized Official Contact | 5103502600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Emergency Physicians Medical Group, A Professional Corp 2100 Powell St Suite 900 Emeryville CA 94608-1826 Ph: (510) 350-2680 | California Emergency Physicians Medical Group, A Professional Corp 710 W 13th Ave Escondido CA 92025-5511 Ph: (760) 208-2520 |
| NPI Number | 1174074793 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174074793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
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