Organization
CALIFORNIA EMERGENCY PHYSC MED GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SPIRO (M.D)
(510) 350-2770
Entity
Organization
Contact information
Practice address
760 S. WACHBURN, STE. A, CORONA, CA 92882
(909) 808-6700
Mailing address
2100 POWELL STREET, STE. 920, EMERYVILLE, CA 94608-1803
(510) 350-2777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR001302W
—
CA
Enumeration date
05/23/2006
Last updated
04/25/2008
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