Organization
COLUSA EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization
Contact information
Practice address
199 E WEBSTER ST, COLUSA, CA 95932-2954
(530) 458-3283
(530) 458-3215
Mailing address
PO BOX 660788, ARCADIA, CA 91066-0788
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093760
—
CA
Enumeration date
07/06/2006
Last updated
07/21/2022
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