DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC

MEDICARE: PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3DA2094OTHERCARAILROAD

General Provider Information

NPI Number : 1265620959
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
Provider Business Mailing Address
First Line : PO BOX 37689
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-5289
Country : US
Telephone Number :
Fax Number : 805-564-5087
Provider Business Practice Location Address
First Line : 2231 S WESTERN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1302
Country : US
Telephone Number : 323-730-7300
Fax Number :
Authorized Official
Title or Position : OFFICER
Name : KATHY KONDAS
Credential :
Telephone Number : 973-251-1132
Provider Enumeration Date : 10/09/2007
Last Update Date : 04/09/2021

Similar Medicare Providers

1275502866 — DR. DAVID CHANG M.D.
Practice Location Address:
2231 S WESTERN AVE
LOS ANGELES, CA
90018-1302
Practice Phone: 562-407-2080
Practice Fax: 562-407-2080
1043271380 — WESTCOM RADIOLOGY MEDICAL GROUP
Practice Location Address:
2231 S WESTERN AVE
LOS ANGELES, CA
90018-1302
Practice Phone: 323-730-7393
Practice Fax:
1396706701 — WILLIAM W TEMPLE, M.D.
Practice Location Address:
2231 S WESTERN AVE
LOS ANGELES, CA
90018-1302
Practice Phone: 323-737-7372
Practice Fax:
1740241157 — WILLIAM W TEMPLE MD
Practice Location Address:
2231 S WESTERN AVE
LOS ANGELES, CA
90018-1302
Practice Phone: 323-737-7372
Practice Fax:
1104023365 — SAFE ANESTHESIA MEDICAL GROUP
Practice Location Address:
2231 S WESTERN AVE
LOS ANGELES, CA
90018-1302
Practice Phone: 323-290-0725
Practice Fax: 323-290-0727
1790973485 — BALDWIN HILLS EMERGENCY PHYSICIANS
Practice Location Address:
2231 S WESTERN AVE
LOS ANGELES, CA
90018-1302
Practice Phone: 323-730-7300
Practice Fax:

Directions to “PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.