MEDICARE: EMERGENCY AND ACUTE CARE MEDICAL CORPORATION

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
1	146N00000X	Basic Emergency Medical Technician

General Provider Information

NPI Number	:	1497703565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERGENCY AND ACUTE CARE MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 9350
Second Line	:
City	:	RANCHO SANTA FE
State	:	CA
Zip	:	92067-4350
Country	:	US
Telephone Number	:	858-759-4765
Fax Number	:	858-759-8194

Provider Business Practice Location Address
First Line	:	16236 SAN DIEGUITO ROAD
Second Line	:	SUITE 4-22
City	:	RANCHO SANTA FE
State	:	CA
Zip	:	92067
Country	:	US
Telephone Number	:	858-759-4765
Fax Number	:	858-759-8194

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	DR. ARTHUR L. GRUEN
Credential	:	M.D., FACEP
Telephone Number	:	858-759-4765

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/22/2020

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Directions to “EMERGENCY AND ACUTE CARE MEDICAL CORPORATION ” Practice Location

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