Emerald Isle Medical Group Inc in Riverside - Critical Care Medicine
Emerald Isle Medical Group Inc - NPI 1063601946
Emerald Isle Medical Group Inc is a Critical Care Medicine in Riverside, California. Emerald Isle Medical Group Inc practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Emerald Isle Medical Group Inc is 1063601946. The last update date is 2020-02-07.
Emerald Isle Medical Group Inc's current location address is 4121 Brockton Ave Ste 104, Riverside, California. You can contact this provider via phone number 9517780032. The mailing address for Emerald Isle Medical Group Inc is 4121 Brockton Ave Ste 104, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Emerald Isle Medical Group Inc |
|---|---|
| Address | 4121 Brockton Ave Ste 104, Riverside, California |
| Phone Number | 9517780032 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | De Silva Bertrand |
| Credentials | M.D. |
| Telephone Number | 7144440440 |
NPI Number Detail
| NPI Number | 1063601946 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2020-02-07 |
Provider Mailing Address Detail
| Address | 4121 Brockton Ave Ste 104 |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925013442 |
| Phone Number | 9517780032 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | A46400 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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What is the unique identification code assigned to Emerald Isle Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Emerald Isle Medical Group Inc has been issued the NPI (National Provider Identifier) 1063601946. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Emerald Isle Medical Group Inc located?
The Emerald Isle Medical Group Inc is located at 4121 Brockton Ave Ste 104, Riverside, CA 925013442.
What is Emerald Isle Medical Group Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Emerald Isle Medical Group Inc is Critical Care Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rc0200X.
On what date was the 1063601946 assigned to Emerald Isle Medical Group Inc?
The Emerald Isle Medical Group Inc was issued its 1063601946 on 2007-10-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Emerald Isle Medical Group Inc most recently updated or refreshed?
The details pertaining to the Emerald Isle Medical Group Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-07.