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Organization
NORWALK COMMUNITY EMERGENCY PHYSICIAN GROUP INC
Active
Organization
NORWALK COMMUNITY EMERGENCY PHYSICIAN GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMITABH PRAKASH MD (MD/PRESIDENT)
(562) 864-8435
Entity
Organization
Contact information
Practice address
13222 BLOOMFIELD AVE, NORWALK, CA 90650-3249
(562) 864-8435
Mailing address
PO BOX 12650, WESTMINSTER, CA 92685-2650
(562) 809-3575
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0104950
—
CA
Enumeration date
11/01/2006
Last updated
05/15/2008
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