Organization
EMERGENCY MEDICINE GROUP OF ENCINITAS, INC
Active
Other names
COASTLINE EMERGENCY PHYSICIAN'S MEDICAL GROUP, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J. MACCORMICK M.D. (PRESIDENT)
(760) 230-2251
Entity
Organization
Contact information
Practice address
354 SANTA FE DR, ENCINITAS, CA 92024-5142
(760) 753-1362
(760) 230-2253
Mailing address
PO BOX 230760, ENCINITAS, CA 92023-0760
(760) 753-1362
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18530
CA
Other
Enumeration date
07/19/2005
Last updated
04/09/2015
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