Healthcare Provider Details

I. General information

NPI: 1932150992
Provider Name (Legal Business Name): COMMUNITY EMERGENCY MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 HERNDON AVENUE
CLOVIS CA
93611-6800
US

IV. Provider business mailing address

PO BOX 11259
WESTMINSTER CA
92685-1259
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-4000
  • Fax:
Mailing address:
  • Phone: 866-675-9441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT K GRAZIER
Title or Position: PRESIDENT
Credential: MD
Phone: 559-324-4000