California Emergency Physicians Medical Group, a Professional Corp.

NPI #1306210554 in Clinton, Maryland

Provider Information

NPI Number: 1306210554
Entity Type: Organization
Organization Name: California Emergency Physicians Medical Group, a Professional Corp.
Primary Specialty: Internal Medicine
Enumeration Date: Nov 25, 2015
Last Updated: Feb 6, 2018

Practice Location

Address: 9106 PINE VIEW LN
City: Clinton
State: Maryland
ZIP Code: 20735-3229
Phone: (410) 880-4353

Authorized Official

Name: THEOPHILE KOURY, M.D
Title: PRESIDENT
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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