Provider First Line Business Practice Location Address:
2100 POWELL STREET
Provider Second Line Business Practice Location Address:
CALIFORNIA EMERGENCY PHYSICIANS CREDENTIALING DEPT
Provider Business Practice Location Address City Name:
EMERYVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-267-3880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/08/2008