# CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP

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

## Provider details

- **NPI number:** 1548456536
- **Authorized official:** KIMLIEN NGUYEN M.P.A.S (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (909) 859-4478

## Contact information

- **Practice address:** 350 TERRACINA BLVD, REDLANDS, CA 92373-4850
- **Practice address phone:** (909) 335-5600
- **Mailing address:** 1037 JASMINE ST, REDLANDS, CA 92374-4925
- **Mailing address phone:** (909) 794-4493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 19327 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 09/24/2007