Organization
CALIFORNIA EMERGENCY PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELTON RAY TRIPP PA-C (PHYSICIAN ASSISTANT)
(559) 786-7837
Entity
Organization
Contact information
Practice address
869 N CHERRY ST, TULARE, CA 93274-2207
(559) 688-0821
Mailing address
282 HEMMINGWAY CT, TULARE, CA 93274-6046
(559) 686-7881
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
PA18501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407999436
NPI
—
Enumeration date
02/15/2007
Last updated
02/09/2009
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