Organization
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J SLEPIN MD (DIRECTOR/OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
300 CANAL ST, KING CITY, CA 93930-3431
(954) 838-2371
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
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
—
1659320893
—
CA
01
—
CG0299
RAILROAD
CA
05
—
GR0083907
—
CA
01
—
ZZZ61144Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/06/2006
Last updated
08/06/2019
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