Organization
CALIFORNIA EM-I MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK J SLEPIN MD (DIRECTOR/OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(209) 339-7575
Mailing address
PO BOX 7830, PHILADELPHIA, PA 19101-7830
(805) 563-3011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008390A
—
CA
01
—
ZZZ61138Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
05/08/2006
Last updated
08/31/2017
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