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EMERGENCY PHYSICIANS INDUSTRIAL MEDICAL ASSOCIATES INC. NPI 1700157641


NPI Information

NPI: 1700157641
Provider Name: EMERGENCY PHYSICIANS INDUSTRIAL MEDICAL ASSOCIATES, INC.

Doing Business As: INDUSTRIAL MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2262229

Address:
3070 SKYWAY DR
SUITE 106
SANTA MARIA, CA
ZIP 93455
Phone: (805) 922-8282
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EMERGENCY PHYSICIANS INDUSTRIAL MEDICAL ASSOCIATES, INC. is a specialist in Santa Maria, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EMERGENCY PHYSICIANS INDUSTRIAL MEDICAL ASSOCIATES, INC. NPI is 1700157641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Industrial Medical Group.

The provider's business location address is:

3070 SKYWAY DR
SUITE 106
SANTA MARIA, CA
ZIP 93455-829
Phone: (805) 922-8282

The provider's authorized official is Paul Christensen .
The authorized official title is President and has the following contact phone number (805) 922-8282.

The CLIA number assigned to this NPI record is 05D2262229 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2012 and was last updated on 1/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A67623OTHERCALIFORNIACALIFORNIA STATE MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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