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Organization
INTERCEDE HEALTH OF CALIFORNIA
Active
Organization
INTERCEDE HEALTH OF CALIFORNIA
Active
Parent organization
INTERCEDE HEALTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERCEDE HEALTH, INC.
Authorized official
MR. PATRICK J MATHEWS (CHIEF FINANCIAL OFFICER)
(832) 476-3900
Entity
Organization
Contact information
Practice address
1680 E 120TH ST, LOS ANGELES, CA 90059-3026
(832) 476-3900
(832) 476-6494
Mailing address
2000 CRAWFORD ST, SUITE 1350, HOUSTON, TX 77002-9000
(832) 476-3900
(832) 476-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006694600
—
FL
05
—
080840401
—
TX
Enumeration date
03/11/2015
Last updated
03/11/2015
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