California Em-I Medical Services A Medical Corporation
Emergency Medicine in Ridgecrest, CA. Organization (NPI-2).
NPI number1922591676
StatusActive
Last updated in NPPESJun 7, 2018
Details
- NPI
- 1922591676
- Entity type
- Organization (NPI-2)
- Legal business name
- California Em-I Medical Services A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jun 7, 2018
- Last updated
- Jun 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
1081 N China Lake BlvdRidgecrest, CA 93555-3130
Phone 469-401-2386
Mailing address
Po Box 99038Las Vegas, NV 89193-9038
Authorized official
Tenna K Behm
Officer
4694012386
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