Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORPORAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
15720 BERNARDO CENTER DR, SAN DIEGO, CA 92127-5861
(858) 672-3900
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/20/2016
Last updated
11/16/2016
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