Organization
CEP AMERICA - CALIFORNIA
Active
Other names
Vituity
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BIRDSALL MD (CHIEF OPERATIONS OFFICER)
(510) 350-2600
Entity
Organization
Contact information
Practice address
1900 SULLIVAN AVENUE, DALY CITY, CA 94015-2229
(650) 992-4000
Mailing address
2100 POWELL ST STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR001302I
—
CA
Enumeration date
05/23/2006
Last updated
02/16/2018
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