NPI 1902254758

California Emergency Physicians Medical Group, a Professional Corporat

Organisation Internal Medicine Physician Emeryville, CA

Practice location

Address: 2100 Powell St Suite 900, Emeryville, CA 94608-1826
Phone: (510) 350-2680
Mailing address: 1025 W 2nd Ave, Escondido, CA 92025-3839

Authorised official

Name: Theophile Koury
Title: President
Phone: (510) 350-2600

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in California →

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in California →

Registry record

NPI: 1902254758
Entity type: Organization
NPI issued: 1 Jun 2016
Record last updated: 1 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.