Organization
CALIFORNIA EM-I MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL L ISCOVICH M.D. (PRESIDENT)
(805) 563-3011
Entity
Organization
Contact information
Practice address
2131 W 3RD ST, LOS ANGELES, CA 90057-1901
(213) 484-7901
Mailing address
3916 STATE ST, SUITE 300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508022245
—
CA
01
—
DO6047
RAILROAD GRP #
CA
Enumeration date
08/01/2008
Last updated
01/28/2010
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