Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (CFO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
2104 N. VILLAGE DRIVE, SUITE L, TRUCKEE, CA 96161
(530) 581-8864
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
03/30/2020
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