1275761249 NPI number — WEST HILLS EMERGENCY MEDICAL ASSOCIATES, INC

Table of content: (NPI 1275761249)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275761249 NPI number — WEST HILLS EMERGENCY MEDICAL ASSOCIATES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST HILLS EMERGENCY MEDICAL ASSOCIATES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275761249
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4419
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91365-4419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-340-9988
Provider Business Mailing Address Fax Number:
818-587-2493

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7300 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91307-1902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-676-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
MARK
Authorized Official Middle Name:
R
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
310-379-2134

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)