Pacific Emergency Providers, A Prof. Corp.

LBN: Pacific Emergency Providers, A Prof. Corp.
Pacific Emergency Providers, A Prof. Corp. is an health care organization with primary practice located at 4077 Fifth Ave , San Diego CA 92103-2105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Pacific Emergency Providers, A Prof. Corp. can be contacted via phone (619) 686-3800, or through Ludwig, Jon K. via phone (626) 447-0296.

Contact Information

Primary practice address
4077 Fifth Ave San Diego CA 92103-2105
Phone: (619) 686-3800
Fax: (619) 260-7050
Website:
Map and Directions
Authorized official contact:
Name: Ludwig, Jon K. Doctor of Medicine (MD)
Phone: (626) 447-0296

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X California

Profile Details

NPI number 1497790539
LBN Legal business name Pacific Emergency Providers, A Prof. Corp.
DBA Doing business as
Authorized official Ludwig, Jon K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 19th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497790539 NPPES
California MEDICAID GR0098840

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