Organization · NPI-2

California Emergency Physicians

Family Medicine · Mission Viejo, CA

NPI number1164535381
StatusActive
Last updated in NPPESJun 25, 2015

Details

NPI
1164535381
Entity type
Organization (NPI-2)
Legal business name
California Emergency Physicians
Organization subpart
No
Enumeration date
Aug 15, 2006
Last updated
Jun 25, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

23962 Alicia Pkwy
Ste 1
Mission Viejo, CA 92691-3940

Phone 949-452-7699

Mailing address

2100 Powell St
Ste 900
Emeryville, CA 94608-1826

Phone 510-350-2600

Authorized official

Theophile Koury
Coo
5103502600

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