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Organization

CALIFORNIA EMERGENCY PHYSICIAN MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMLIEN NGUYEN M.P.A.S (PHYSICIAN ASSISTANT)
(909) 859-4478
Entity
Organization

Contact information

Practice address
350 TERRACINA BLVD, REDLANDS, CA 92373-4850
(909) 335-5600
Mailing address
1037 JASMINE ST, REDLANDS, CA 92374-4925
(909) 794-4493

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
19327
CA

Other

Enumeration date
09/24/2007
Last updated
09/24/2007
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