| California Emergency Physicians Medical Group, A Professional Corporat | |
|
2100 Powell St Suite 900 Emeryville CA 94608-1826 | |
| (510) 350-2680 | |
| Not Available |
| Full Name | California Emergency Physicians Medical Group, A Professional Corporat |
|---|---|
| Speciality | Internal Medicine |
| Location | 2100 Powell St, Emeryville, 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 Corporat 1025 W 2nd Ave Escondido CA 92025-3839 Ph: (760) 745-1842 | California Emergency Physicians Medical Group, A Professional Corporat 2100 Powell St Suite 900 Emeryville CA 94608-1826 Ph: (510) 350-2680 |
| NPI Number | 1902254758 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902254758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 314000000X | Skilled Nursing Facility | (* (Not Available)) | Secondary |
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