Organization
CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP, A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE KOURY M.D (PRESIDENT)
(510) 350-2600
Entity
Organization
Contact information
Practice address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1826
(510) 350-2638
Mailing address
2100 POWELL ST, STE 900, EMERYVILLE, CA 94608-1844
(510) 350-2638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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