Organization
ANTELOPE VALLEY EMERGENCY MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW G. RICHARD M.D. (PRESIDENT)
(310) 346-1071
Entity
Organization
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 254-4707
Mailing address
PO BOX 740530, LOS ANGELES, CA 90074-0530
(855) 691-9890
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067030
—
CA
Enumeration date
07/14/2006
Last updated
02/23/2021
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