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Organization
TERRACE EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization
TERRACE EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization
Contact information
Practice address
9449 SAN FERNANDO RD, SUN VALLEY, CA 91352-1421
(818) 252-2184
Mailing address
PO BOX 219, SAN DIMAS, CA 91773-0219
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003195710
—
CA
Enumeration date
08/11/2011
Last updated
03/29/2016
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