Healthcare Provider Details

I. General information

NPI: 1053487835
Provider Name (Legal Business Name): EMERGENCY ASSOCIATES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12401 WASHINGTON BLVD
WHITTIER CA
90602-1006
US

IV. Provider business mailing address

16236 SAN DIEGUITO RD SUITE 4-22
RANCHO SANTA FE CA
92091-9802
US

V. Phone/Fax

Practice location:
  • Phone: 858-759-4765
  • Fax: 858-759-8194
Mailing address:
  • Phone: 858-759-4765
  • Fax: 858-759-8194

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: ARTHUR GRUEN
Title or Position: OWNER
Credential: M.D.
Phone: 858-759-4765