Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY M.D. (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
710 W 13TH AVE, ESCONDIDO, CA 92025-5511
(760) 208-2520
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2680
(510) 879-9074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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