Organization
JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY B. STAUM M.D. (PRESIDENT AND CEO)
(310) 301-2030
Entity
Organization
Contact information
Practice address
450 GREENFIELD AVE, EMERGENCY DEPARTMENT, HANFORD, CA 93230-3513
(559) 582-9000
(559) 584-7401
Mailing address
4551 GLENCOE AVE, SUITE 260, MARINA DEL REY, CA 90292-6385
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G28196
CA
Other
Enumeration date
05/12/2006
Last updated
09/26/2007
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