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Organization
SOUTH COAST EMERGENCY MEDICAL GROUP
Active
Organization
SOUTH COAST EMERGENCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A REID MD (DIRECTOR)
(562) 809-3570
Entity
Organization
Contact information
Practice address
3033 WEST ORANGE AVENUE, ANAHEIM, CA 92804
(714) 827-3000
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ82235Z
—
CA
Enumeration date
09/14/2006
Last updated
07/10/2007
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