Healthcare Provider Details
I. General information
NPI: 1871757575
Provider Name (Legal Business Name): TEMPLETON INPATIENT PHYSICIANS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2008
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1100 LAS TABLAS RD
TEMPLETON CA
93465-9704
US
IV. Provider business mailing address
PO BOX 79633
CITY OF INDUSTRY CA
91716-9633
US
V. Phone/Fax
- Phone: 805-434-4352
- Fax: 805-434-4355
- Phone: 330-470-3700
- Fax: 330-497-7940
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | CA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | CA |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
E.
PAUL
REID
Title or Position: PRESIDENT
Credential: MD
Phone: 866-885-5522