Organization
JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY B. STAUM M.D. (PRESIDENT &CEO)
(310) 301-2030
Entity
Organization
Contact information
Practice address
1250 16TH ST, EMERGENCY DEPARTMENT, SANTA MONICA, CA 90404-1249
(310) 319-4000
Mailing address
1700 EAST WALNUT AVENUE, #250, EL SAGUNDO, CA 90245-2605
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
11/12/2008
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