Organization
EMERGENCY PHYSICIANS ASSOCIATES OVERHEAD OPERATING ACCOUNT DENNIS BELO
Active
Other names
Emergency Physician Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SAMI A JADALLAH MD (PRESIDENT)
(408) 947-2500
Entity
Organization
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1425
(408) 947-2500
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(888) 620-3100
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0017960
—
CA
Enumeration date
05/17/2006
Last updated
11/27/2013
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