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California Em-I Medical Services, A Medical Corporation

Physician Assistant in Susanville, CA. Organization (NPI-2).

NPI number1043562002
StatusActive
Last updated in NPPESAug 31, 2017

Details

NPI
1043562002
Entity type
Organization (NPI-2)
Legal business name
California Em-I Medical Services, A Medical Corporation
Organization subpart
No
Enumeration date
Oct 15, 2012
Last updated
Aug 31, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

1800 Spring Ridge Dr
Susanville, CA 96130-6100

Phone 469-401-2386

Mailing address

13737 Noel Rd Ste 1600
Dallas, TX 75240-1374

Phone 469-401-2386

Authorized official

Mark J Slepin
Director/Officer
4694012386

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