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General NPI Number Information
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NPI Number | 1780021782
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Entity Type | Organization
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Legal Business Name | CHULA VISTA EMERGENCY ROOM PHYSICIANS, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 435 H ST
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City | CHULA VISTA
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State | CA
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Zip | 91910-4307
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Country | US
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Telephone | 619-691-7290
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Fax | 619-691-7432
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Provider Business Mailing Address
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Address Line | PO BOX 230910
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City | ENCINITAS
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State | CA
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Zip | 92023-0910
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Country | US
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Telephone | 760-257-5750
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Fax | 818-462-0991
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER FREDERICK JOST
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Credential |
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Telephone | 619-852-8693
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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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