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NPI Code Detail

MEDICARE: BALDWIN HILLS EMERGENCY PHYSICIANS

MEDICARE: BALDWIN HILLS EMERGENCY PHYSICIANS
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

General Provider Information

NPI Number : 1790973485
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALDWIN HILLS EMERGENCY PHYSICIANS
Provider Business Mailing Address
First Line : PO BOX 37689
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19101-5289
Country : US
Telephone Number : 805-563-3010
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 : GENERAL PARTNER
Name : DR. CHARLES T MITCHELL
Credential : MD
Telephone Number : 805-563-3010
Provider Enumeration Date : 10/09/2007
Last Update Date : 07/24/2009

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Directions to “BALDWIN HILLS EMERGENCY PHYSICIANS ” Practice Location

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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.

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