California Emergency Physician Medical Group
NPI #1629359864 in Montebello, California
Provider Information
- NPI Number
- 1629359864
- Entity Type
- Organization
- Organization Name
- California Emergency Physician Medical Group
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 1, 2011
- Last Updated
- Sep 1, 2011
Practice Location
- Address
- 615 W LINCOLN AVE
- City
- Montebello
- State
- California
- ZIP Code
- 90640-3528
- Phone
- (323) 727-0205
Authorized Official
- Name
- KIM YEN PHAM, PA-C
- Title
- MID LEVEL PRACTITIONER
- Phone
- (323) 727-0205
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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