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NPI Code Detail

MEDICARE: JSE EMERGENCY MEDICAL GROUP

MEDICARE: JSE EMERGENCY MEDICAL GROUP
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
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851348486
Entity Type Code : Organization
Provider Name (Legal Business Name) : JSE EMERGENCY MEDICAL GROUP
Provider Business Mailing Address
First Line : DEPT 2268
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-0001
Country : US
Telephone Number : 714-522-2001
Fax Number : 714-522-7503
Provider Business Practice Location Address
First Line : 21530 PIONEER BLVD
Second Line :
City : HAWAIIAN GARDENS
State : CA
Zip : 90716-2608
Country : US
Telephone Number : 714-522-2001
Fax Number : 714-522-7503
Authorized Official
Title or Position : OWNER
Name : DR. JOSEPH S ENGLANOFF
Credential : M.D.
Telephone Number : 714-522-2001
Provider Enumeration Date : 05/28/2006
Last Update Date : 06/27/2013

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Directions to “JSE EMERGENCY MEDICAL GROUP ” Practice Location

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