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NPI Code Detail

MEDICARE: CEP AMERICA - CALIFORNIA

MEDICARE: CEP AMERICA - CALIFORNIA
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

General Provider Information

NPI Number : 1922053438
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEP AMERICA - CALIFORNIA
Provider Business Mailing Address
First Line : 2100 POWELL ST STE 900
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1844
Country : US
Telephone Number : 510-350-2600
Fax Number :
Provider Business Practice Location Address
First Line : 1900 SULLIVAN AVENUE
Second Line :
City : DALY CITY
State : CA
Zip : 94015-2229
Country : US
Telephone Number : 650-992-4000
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : DAVID BIRDSALL
Credential : MD
Telephone Number : 510-350-2600
Provider Enumeration Date : 05/23/2006
Last Update Date : 02/16/2018

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Directions to “CEP AMERICA - CALIFORNIA ” 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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