Healthcare Provider Details

I. General information

NPI: 1356502496
Provider Name (Legal Business Name): VEPEMA MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 DELBON AVE
TURLOCK CA
95382-2016
US

IV. Provider business mailing address

PO BOX 660160
ARCADIA CA
91066-0160
US

V. Phone/Fax

Practice location:
  • Phone: 209-667-4200
  • Fax: 209-664-2797
Mailing address:
  • Phone: 626-447-0296
  • Fax: 626-447-6057

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: DR. STEVEN PETER MARON
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 510-436-9000