Organization
EDS-I PRACTICES OF CALIFORNIA, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
36485 INLAND VALLEY DR, WILDOMAR, CA 92595-9681
(469) 401-2386
Mailing address
13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/04/2016
Last updated
03/23/2023
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