Organization
INTERCOMMUNITY EMERGENCY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN M KRAMER MD (PRESIDENT)
(562) 698-0811
Entity
Organization
Contact information
Practice address
12401 WASHINGTON BLVD, WHITTIER, CA 90602-1006
(562) 698-0811
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(800) 506-6895
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CU0753
RAILROAD MEDICARE
CA
05
—
GR0048670
—
CA
01
—
ZZZ27738Z
BLUE SHIELD
CA
Enumeration date
06/11/2006
Last updated
08/22/2020
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