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Organization
DOCTORS MANAGED EMERGENCY MEDICAL GROUP INC.
Active
Organization
DOCTORS MANAGED EMERGENCY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGASAMUDRA SHAMARAO ASHOK MD (CEO)
(818) 515-2309
Entity
Organization
Contact information
Practice address
851 W MOUNTAIN ST, GLENDALE, CA 91202-1047
(818) 243-0008
(626) 579-0060
Mailing address
851 W MOUNTAIN ST, GLENDALE, CA 91202-1047
(818) 243-0008
(626) 579-0060
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
04/07/2009
Last updated
03/13/2025
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