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Premier Emergency Physicians Of California Medical Group PC

Emergency Medicine in Anaheim, CA. Organization (NPI-2).

NPI number1578747606
StatusActive
Last updated in NPPESApr 9, 2021

Details

NPI
1578747606
Entity type
Organization (NPI-2)
Legal business name
Premier Emergency Physicians Of California Medical Group PC
Organization subpart
No
Enumeration date
Dec 26, 2007
Certification date
Apr 9, 2021
Last updated
Apr 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes

Practice location

3350 W Ball Rd
Anaheim, CA 92804-3710

Phone 469-401-2386

Mailing address

5565 Centerview Dr Ste 107
Raleigh, NC 27606-3563

Authorized official

Kathy Kondas
Officer
9732511132

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