Basic Information
Provider Information
NPI: 1285938043
EntityType: 2
ReplacementNPI:  
OrganizationName: ALHAMBRA EMERGENCY MEDICAL ASSOCIATES, INC
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Mailing Information
Address1: PO BOX 4419
Address2:  
City: WOODLAND HILLS
State: CA
PostalCode: 913654419
CountryCode: US
TelephoneNumber: 8183409988
FaxNumber: 8185872493
Practice Location
Address1: 100 S RAYMOND AVE
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City: ALHAMBRA
State: CA
PostalCode: 918013166
CountryCode: US
TelephoneNumber: 6265701606
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Other Information
ProviderEnumerationDate: 01/07/2011
LastUpdateDate: 01/07/2011
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AuthorizedOfficialLastName: AGRON
AuthorizedOfficialFirstName: MICHAEL
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AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9096298088
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IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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