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Organization
PACIFIC EMERGENCY PROVIDERS, A PROF. CORP.
Active
Organization
PACIFIC EMERGENCY PROVIDERS, A PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON K. LUDWIG M.D. (OWNER)
(626) 447-0296
Entity
Organization
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 686-3800
(619) 260-7050
Mailing address
PO BOX 920131, DALLAS, TX 75392-0131
(626) 447-0296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098840
—
CA
Enumeration date
06/20/2006
Last updated
06/19/2023
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