Organization
EMERGENCY PHYSICIANS MEDICAL ASSOCIATES OF LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE R. CALLOWAY M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization
Contact information
Practice address
1720 TERMINO AVE, LONG BEACH, CA 90804-2104
(562) 494-0729
(562) 498-4476
Mailing address
PO BOX 60040, ARCADIA, CA 91066-6040
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087820
—
CA
Enumeration date
07/05/2006
Last updated
07/21/2022
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