Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP.
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE G. KOURY MD (MD, PRESIDENT)
(510) 350-2774
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR STE 355, GLENDALE, CA 91206-4159
(747) 212-3441
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
08/09/2024
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