Organization
ISABELLA EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ISCOVICH MD (OWNER)
(800) 355-0808
Entity
Organization
Contact information
Practice address
6412 LAUREL AVE, MOUNTAIN MESA, LAKE ISABELLA, CA 93240-9529
(760) 379-2681
(760) 379-3719
Mailing address
PO BOX 41698, PHILADELPHIA, PA 19101-1698
(800) 230-5160
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
04/20/2008
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