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General NPI Number Information
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NPI Number | 1275485385
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Entity Type | Organization
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Legal Business Name | SIMI VALLEY EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 2975 SYCAMORE DR EMERGENCY DEPARTMENT
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1201
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Country | US
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Telephone | 818-863-4366
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 WILSON TER EMERGENCY DEPARTMENT
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City | GLENDALE
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State | CA
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Zip | 91206-4007
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Country | US
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Telephone | 818-863-4366
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANTHONY CARDILLO
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Credential | MD
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Telephone | 310-488-2830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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