Organization
CEP AMERICA - AUC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
5401 NORRIS CANYON RD STE 100, SAN RAMON, CA 94583-5406
(925) 275-9200
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
06/30/2022
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