Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY MD (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
600 MARINE BLVD, MOSS BEACH, CA 94038-9641
(650) 563-7100
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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