Organization
CALIFORNIA EMERGENCY PHYSC MED GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPIRO (M.D)
(510) 350-2770
Entity
Organization
Contact information
Practice address
6655 ALVARADO RD, SAN DIEGO, CA 92120-5208
(619) 229-3130
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1826
(510) 350-2660
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0024420
—
CA
Enumeration date
07/27/2006
Last updated
04/24/2008
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