Organization
CEP AMERICA LLC
Active
Parent organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP
Authorized official
THEOPHILE KOURY MD (MD COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 214-4000
Mailing address
2100 POWELL ST, STE 920, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089337
—
AZ
Enumeration date
05/23/2006
Last updated
08/05/2013
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