Organization
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J SLEPIN MD (DIRECTOR/OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1205 E NORTH ST, MANTECA, CA 95336-4932
(469) 401-2386
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003865247
—
CA
05
—
GR0083903
—
CA
01
—
ZZZ61140Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/06/2006
Last updated
08/31/2017
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