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Organization
TAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION
Active
Organization
TAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JOSEPH JANTOS (AO)
(775) 901-1563
Entity
Organization
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
Mailing address
PO BOX 849174, LOS ANGELES, CA 90084-9174
(775) 901-1563
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086240
—
CA
Enumeration date
08/31/2006
Last updated
01/02/2026
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