Organization
HEMET EMERGENCY MED GROUP @ MENIFEE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER BOSS (PRESIDENT)
(951) 652-2811
Entity
Organization
Contact information
Practice address
28400 MCCALL BLVD, SUN CITY, CA 92585-9658
(909) 679-8888
Mailing address
FILE 57351, LOS ANGELES, CA 90074-7351
(800) 819-3982
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0013771
MEDI-CAL
—
01
—
ZZZ30469Z
BLUE SHIELD
—
Enumeration date
10/05/2007
Last updated
06/06/2009
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