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Organization
MOUNTAIN VIEW EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization
MOUNTAIN VIEW EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Other names
Mountain View Emergency Physicians Med Grp, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN D BOCK MD (PRESIDENT)
(909) 985-2811
Entity
Organization
Contact information
Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(877) 484-3035
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC8615
RAILROAD MEDICARE
CA
05
—
GR0055090
—
CA
01
—
ZZZ36334Z
BLUE SHIED
CA
Enumeration date
05/25/2006
Last updated
07/24/2013
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