Organization
CEP AMERICA - INTENSIVISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL M.D. (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
4002 VISTA WAY, OCEANSIDE, CA 92056-4506
(760) 724-8411
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
09/08/2022
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