Organization
CEP AMERICA - CALIFORNIA
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
18300 HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0082501
—
CA
Enumeration date
05/23/2006
Last updated
03/24/2020
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