Organization
JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY B. STAUM M.D. (PRESIDENT & CEO)
(310) 301-2030
Entity
Organization
Contact information
Practice address
5974 PENTZ RD, EMERGENCY DEPARTMENT, PARADISE, CA 95969-5509
(530) 877-9361
(530) 876-2160
Mailing address
1700 EAST WALNUT AVENUE, #250, EL SAGUNDO, CA 90245-2605
(310) 301-2030
(310) 306-5247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G28196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR005614G
—
CA
Enumeration date
05/11/2006
Last updated
11/12/2008
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