Organization
CEP AMERICA - INTENSIVISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL (C.O.O)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 992-4000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2638
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
03/30/2020
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