Provider Demographics
NPI:1376787564
Name:THE EMERGENCY GROUP, INC
Entity Type:Organization
Organization Name:THE EMERGENCY GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMBETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-456-2647
Mailing Address - Street 1:23852 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-4879
Mailing Address - Country:US
Mailing Address - Phone:310-456-2647
Mailing Address - Fax:
Practice Address - Street 1:23852 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 380
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-4879
Practice Address - Country:US
Practice Address - Phone:310-456-2647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33362207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA45518Medicare UPIN