Organization
CENTENNIAL EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization
Contact information
Practice address
1025 S ANAHEIM BLVD, ANAHEIM, CA 92805-5806
(714) 563-2809
Mailing address
PO BOX 661387, ARCADIA, CA 91066-1387
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
07/05/2014
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