# CALIFORNIA EMERGENCY PHYSC MED GRP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356503627
- **Authorized official:** DR. THEOPHILE KOURY MD (COO)
- **Authorized official phone:** (510) 350-2600

## Contact information

- **Practice address:** 26137 LA PAZ RD, SUITE 120, MISSION VIEJO, CA 92691-5319
- **Practice address phone:** (510) 350-2663
- **Mailing address:** 2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
- **Mailing address phone:** (510) 350-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 08/29/2013