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Organization
PLEASANTON EMERGENCY MEDICAL GROUP
Active
Organization
PLEASANTON EMERGENCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD Y KAN MD (MANAGING PARTNER)
(925) 519-2089
Entity
Organization
Contact information
Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588
(209) 342-2300
(209) 524-4240
Mailing address
PO BOX 920133, DALLAS, TX 75392-0143
(877) 346-2211
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
040027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094321
—
CA
01
—
ZZZ08094Z
BLUE SHIELD
CA
Enumeration date
11/04/2005
Last updated
03/04/2026
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