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Contact Information

CALIFORNIA EMERGENCY PHYSC MED GRP
760 S. WACHBURN
STE. A
CORONA, CA92882
 Phone: 909-808-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CALIFORNIA EMERGENCY PHYSC MED GRP

NPI # 1194770602
LBN Legal business name CALIFORNIA EMERGENCY PHYSC MED GRP
Authorized official MARK SPIRO - (M.D)
Entity Organization
Organization subpart 1 No
Enumeration date 05/23/2006
Last updated 04/25/2008 - About 18 years ago
Identifiers
CA Medicaid GR001302W
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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