Jj&r Emergency Medical Group of California, Inc.

NPI #1104877208 in Clearlake, California

Provider Information

NPI Number
1104877208
Entity Type
Organization
Organization Name
Jj&r Emergency Medical Group of California, Inc.
Primary Specialty
Emergency Medicine
Enumeration Date
May 13, 2006
Last Updated
Nov 12, 2008

Practice Location

Address
18TH AVENUE AND HIGHWAY 53
Address 2
EMERGENCY DEPARTMENT
ZIP Code
95422-6720
Phone
(707) 994-6486

Authorized Official

Name
BARRY B. STAUM, M.D.
Title
PRESIDENT & CEO
Phone
(310) 301-2030

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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