# CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP

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

## Provider details

- **NPI number:** 1740846930
- **Authorized official:** DAVID BIRDSALL MD (COO)
- **Authorized official phone:** (510) 350-2600

## Contact information

- **Practice address:** 525 W UMPQUA ST, ROSEBURG, OR 97471-2952
- **Practice address phone:** (541) 464-7100
- **Mailing address:** 1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
- **Mailing address phone:** (209) 491-7710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2019
- **Last updated:** 01/30/2020