Premier Emergency Physicians Of California Medical Group Pc

LBN: Premier Emergency Physicians Of California Medical Group Pc
Premier Emergency Physicians Of California Medical Group Pc is an health care organization with primary practice located at 250 N 1St St Emergency Department, Blythe CA 92225-1702. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Premier Emergency Physicians Of California Medical Group Pc can be contacted via phone (760) 922-4115, or through Kondas, Kathy via phone (973) 251-1132.

Contact Information

Primary practice address
250 N 1St St Emergency Department Blythe CA 92225-1702
Phone: (760) 922-4115
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kondas, Kathy
Phone: (973) 251-1132

Health care specialties

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

Profile Details

NPI number 1922058221
LBN Legal business name Premier Emergency Physicians Of California Medical Group Pc
DBA Doing business as
Authorized official Kondas, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Apr 9th, 2021 - about 3 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 1922058221 NPPES
California Other ZZZ64207Z BLUE SHIELD OF CALIFORNIA
California MEDICAID GR0094162 BLUE SHIELD OF CALIFORNIA

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