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JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA INC. NPI 1891744728


NPI Information

NPI: 1891744728
Provider Name: JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
15248 11TH ST
EMERGENCY DEPARTMENT
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-8691
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JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC. is an emergency medicine in Victorville, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC. NPI is 1891744728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15248 11TH ST
EMERGENCY DEPARTMENT
VICTORVILLE, CA
ZIP 92395-704
Phone: (760) 245-8691
Fax: (760) 843-6020

The provider's authorized official is Barry B. Staum .
The authorized official title is President & Ceo and has the following contact phone number (310) 301-2030.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/12/2008.


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
1207P00000XEmergency MedicineYes

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
1ZZZ02361ZMEDICARE PINCALIFORNIA

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: 11/14/2023

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