Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY M.D. (COO)
(510) 350-2770
Entity
Organization
Contact information
Practice address
8833 MONTEREY RD, SUITE H, GILROY, CA 95020
(408) 842-1544
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
01/13/2020
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