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Organization
PALM DRIVE EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization
PALM DRIVE 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
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-8401
Mailing address
PO BOX 1339, ARCADIA, CA 91077-1339
(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
—
1184927964
—
CA
Enumeration date
12/16/2010
Last updated
03/29/2016
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