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Organization
EMERGENCY MEDICAL OFFICE INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
EMERGENCY MEDICAL OFFICE INC A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Reform Physical Therapy, Inc., Rancho Paseo Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK J LLOYD MD (MEDICAL DOCTOR)
(951) 769-0079
Entity
Organization
Contact information
Practice address
264 N HIGHLAND SPRINGS AVE STE 4, BANNING, CA 92220-3082
(951) 769-0079
Mailing address
264 N HIGHLAND SPRINGS AVE STE 4, BANNING, CA 92220-3082
(951) 769-0079
(888) 854-7592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068300
—
CA
Enumeration date
07/18/2006
Last updated
09/04/2025
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