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Organization

CEP AMERICA - CALIFORNIA

Active
Other names
Vituity
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization

Contact information

Practice address
400 NORTH PEPPER AVENUE, COLTON, CA 92324-1819
(909) 580-1400
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(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
GR001302K
CA
Enumeration date
05/19/2006
Last updated
03/19/2020
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