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Organization
NORTH COAST EMERGENCY PHYSICIANS
Active
Organization
NORTH COAST EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CORDOVA M.D. (PRESIDENT)
(707) 269-4250
Entity
Organization
Contact information
Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-4250
Mailing address
PO BOX 81461, SAN DIEGO, CA 92138-1461
(619) 285-5996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0042230
—
CA
Enumeration date
05/11/2006
Last updated
08/22/2020
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