Cep America - California

NPI #1952616211 in Fortuna, California

Provider Information

NPI Number: 1952616211
Entity Type: Organization
Organization Name: Cep America - California
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 11, 2010
Last Updated: May 11, 2016

Practice Location

Address: 3300 RENNER DR
City: Fortuna
State: California
ZIP Code: 95540-3120
Phone: (707) 725-3361

Authorized Official

Name: DR. THEOPHILE KOURY, MD
Title: COO
Phone: (510) 350-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Emergency Medicine	207P00000X	Primary

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