Petaluma Emergency Physicians Medical Corporation

LBN: Petaluma Emergency Physicians Medical Corporation
Petaluma Emergency Physicians Medical Corporation is an health care organization with primary practice located at 400 N Mcdowell Blvd , Petaluma CA 94954-2339. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Hospitals / Critical Access. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Petaluma Emergency Physicians Medical Corporation can be contacted via phone (707) 778-1111, or through Fong, Henry via phone (707) 778-1111.

Contact Information

Primary practice address
400 N Mcdowell Blvd Petaluma CA 94954-2339
Phone: (707) 778-1111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fong, Henry
Phone: (707) 778-1111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Hospitals / Critical Access 282NC0060X G69103 California

Profile Details

NPI number 1649201898
LBN Legal business name Petaluma Emergency Physicians Medical Corporation
DBA Doing business as
Authorized official Fong, Henry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Mar 28th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649201898 NPPES
California MEDICAID GR0105410

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