Palm Drive Emergency Physicians Medical Group Inc

LBN: Palm Drive Emergency Physicians Medical Group Inc
Palm Drive Emergency Physicians Medical Group Inc is an health care organization with primary practice located at 1250 16Th St , Santa Monica CA 90404-1249. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Palm Drive Emergency Physicians Medical Group Inc can be contacted via phone (424) 259-8401, or through Maron, Steven P. via phone (626) 447-0296.

Contact Information

Primary practice address
1250 16Th St Santa Monica CA 90404-1249
Phone: (424) 259-8401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maron, Steven P. Doctor of Medicine (MD)
Phone: (626) 447-0296

Health care specialties

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

Profile Details

NPI number 1184927964
LBN Legal business name Palm Drive Emergency Physicians Medical Group Inc
DBA Doing business as
Authorized official Maron, Steven P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2010
Last updated Mar 29th, 2016 - about 8 years ago

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 1184927964 NPPES
California MEDICAID 1184927964

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