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
6412 LAUREL AVE, MOUNTAIN MESA, LAKE ISABELLA, CA 93240-9529
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008390F
—
CA
01
—
ZZZ64264Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/08/2006
Last updated
08/31/2017
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