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Organization

CALIFORNIA EMERGENCY PHYSC MED GRP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEOPHILE KOURY MD (COO)
(510) 350-2600
Entity
Organization

Contact information

Practice address
2700 DOLBEER ST, EUREKA, CA 95501-4736
(707) 269-3610
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
09/01/2010
Last updated
08/16/2013
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