Organization
GIONIS EMERGENCY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS A GIONIS M.D. (PRESIDENT)
(562) 864-6377
Entity
Organization
Contact information
Practice address
13100 STUDEBAKER RD, NORWALK, CA 90650-2531
(562) 864-6377
Mailing address
PO BOX 636082, CINCINNATI, OH 45263-6082
(954) 377-2380
(865) 291-2849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100600
—
CA
01
—
ZZZ69818Z
BLUE SHIELD
CA
Enumeration date
05/17/2006
Last updated
11/19/2008
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