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Cep America - Intensivists PC

Internal Medicine, Critical Care Medicine in Daly City, CA. Organization (NPI-2).

NPI number1336780931
StatusActive
Last updated in NPPESMar 30, 2020

Details

NPI
1336780931
Entity type
Organization (NPI-2)
Legal business name
Cep America - Intensivists PC
Organization subpart
No
Enumeration date
Oct 4, 2019
Certification date
Mar 30, 2020
Last updated
Mar 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine––Yes

Practice location

1900 Sullivan Ave
Daly City, CA 94015-2200

Phone 650-992-4000

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411

Phone 510-350-2638

Authorized official

David Birdsall
C.O.O
5103502600

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