Organization
TEMPLETON INPATIENT PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. PAUL REID MD (PRESIDENT)
(866) 885-5522
Entity
Organization
Contact information
Practice address
1100 LAS TABLAS RD, TEMPLETON, CA 93465-9704
(805) 434-4352
(805) 434-4355
Mailing address
PO BOX 79633, CITY OF INDUSTRY, CA 91716-9633
(330) 470-3700
(330) 497-7940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
CA
207R00000X
Internal Medicine Physician
—
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
CA
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1207
CMSP PROVIDER NUMBER
CA
05
—
1871757575
—
CA
01
—
613894800
USDL: OFFICE OF WORKERS COMPENSATION PROGRAM PROVIDER NUMBER
CA
01
—
ZZZ53930Y
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
07/11/2008
Last updated
04/18/2011
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