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Organization

CALIFORNIA EM-I MEDICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGEL L. ISCOVICH MD (PRESIDENT)
(805) 563-3011
Entity
Organization

Contact information

Practice address
3555 CESAR CHAVEZ, SAN FRANCISCO, CA 94110-4403
(415) 641-6625
Mailing address
3916 STATE ST, SUITE 300, SANTA BARBARA, CA 93105-5602
(805) 563-3011

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
1649229600
CA
01
CH3260
RAILROAD GRP #
CA
05
GR008390B
CA
01
ZZZ61148Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/08/2006
Last updated
07/24/2009
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