Organization
CCHP EMS CA
Active
Parent organization
LAWRENCE A BEAN MD CCHP EMS CA INC
Other names
CCHP EMS CA
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCE A BEAN MD CCHP EMS CA INC
Authorized official
LAWRENCE A BEAN MD (PRESIDENT, MANAGING PARTNER)
(866) 225-0350
Entity
Organization
Contact information
Practice address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
(818) 462-0991
Mailing address
700 CENTRAL EXPY S STE 400, ALLEN, TX 75013-8113
(866) 225-0350
(818) 462-0991
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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