Organization
CALIFORNIA EMERGENCY PHYSICIANS/MED AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON DIMMER (CREDENTIALING SPECIALIST)
(510) 350-2673
Entity
Organization
Contact information
Practice address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2673
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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