Premier Emergency Physicians of California Medical Group PC
NPI #1932354206 in Clearlake, California
Provider Information
- NPI Number
- 1932354206
- Entity Type
- Organization
- Organization Name
- Premier Emergency Physicians of California Medical Group PC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Nov 29, 2008
- Last Updated
- Apr 9, 2021
Practice Location
- Address
- 15630 18TH AVE
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-9336
- Phone
- (707) 994-6486
Authorized Official
- Name
- KATHY KONDAS
- Title
- OFFICER
- Phone
- (973) 251-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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