California Em-I Medical Services

NPI #1265706386 in Gridley, California

Provider Information

NPI Number: 1265706386
Entity Type: Organization
Organization Name: California Em-I Medical Services
Primary Specialty: Physician Assistant
Enumeration Date: Mar 7, 2012
Last Updated: Jul 13, 2012

Practice Location

Address: 240 SPRUCE ST
City: Gridley
State: California
ZIP Code: 95948-2216
Phone: (530) 846-6406

Authorized Official

Name: ANGEL L ISCOVICH, M.D.
Title: PRESIDENT
Phone: (805) 563-3011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X
Physician Assistant	363A00000X	Primary

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