Organization
CALIFORNIA EM-I MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL L ISCOVICH MD (PRESIDENT)
(805) 563-3011
Entity
Organization
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(707) 995-5890
Mailing address
3916 STATE ST, #300, SANTA BARBARA, CA 93105-5602
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
CA
363L00000X
Nurse Practitioner
—
CA
Other
Enumeration date
02/06/2009
Last updated
01/28/2010
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