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
740 NW HILL AVE, ROSEBURG, OR 97471-1672
(541) 672-1631
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
(209) 491-7710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
01/30/2020
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