Organization
CEP AMERICA - INTENSIVISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (COO)
(510) 350-2600
Entity
Organization
Contact information
Practice address
309 W BEVERLY BLVD, MONTEBELLO, CA 90640-4308
(978) 922-3000
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(510) 851-7501
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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