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Organization
NORTH COAST EMERGENCY PHYSICIANS
Active
Organization
NORTH COAST EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CORDOVA M.D. (PRESIDENT)
(707) 725-7328
Entity
Organization
Contact information
Practice address
3300 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-7328
Mailing address
PO BOX 81461, SAN DIEGO, CA 92138-1461
(619) 285-5996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0042231
—
CA
Enumeration date
05/11/2006
Last updated
08/22/2020
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