Premier Emergency Physicians Of California Medical Group Pc
LBN: Premier Emergency Physicians Of California Medical Group Pc
Premier Emergency Physicians Of California Medical Group Pc is an health care organization with primary practice located at 2131 W 3Rd St , Los Angeles CA 90057-1901. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Premier Emergency Physicians Of California Medical Group Pc can be contacted via phone (213) 484-7301, or through Kondas, Kathy via phone (973) 251-1132.
Contact Information
Primary practice address
2131 W 3Rd St
Los Angeles CA 90057-1901
Phone: (213) 484-7301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1316996564 |
|---|---|
| LBN Legal business name | Premier Emergency Physicians Of California Medical Group Pc |
| DBA Doing business as | |
| Authorized official | Kondas, Kathy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 7th, 2006 |
| Last updated | Apr 9th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316996564 | NPPES |
| Other | DD1910 | RAILROAD GRP # | |
| Other | ZZZ64832Z | RAILROAD GRP # | |
| MEDICAID | 1316996564 | RAILROAD GRP # | |
| MEDICAID | GR0094163 | RAILROAD GRP # |
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